| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.06 | $355.06 | $355.06 | |
Medica
| Facility | $438.45 | $600.04 | $934.77 | |
Midlands
| Facility | $630.00 | $828.13 | $1,082.46 | |
Sanford Health Plan
| Professional | $444.58 | $587.26 | $669.54 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |