| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.63 | $362.63 | $362.63 | |
Medica
| Facility | $341.80 | $559.47 | $907.08 | |
Midlands
| Facility | $610.46 | $866.46 | $1,104.36 | |
Sanford Health Plan
| Professional | $475.18 | $588.96 | $671.48 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |