| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.94 | $311.94 | $311.94 | |
Medica
| Facility | $387.59 | $527.17 | $853.21 | |
Midlands
| Facility | $593.00 | $739.31 | $970.87 | |
Sanford Health Plan
| Professional | $401.76 | $527.11 | $600.97 | |
United
| Facility | $821.00 | $821.00 | $821.00 |