| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.06 | $235.60 | $235.60 | |
Medica
| Facility | $70.81 | $223.20 | $447.01 | |
Midlands
| Facility | $119.00 | $381.70 | $642.38 | |
Sanford Health Plan
| Professional | $83.20 | $272.58 | $395.55 | |
United
| Facility | $821.00 | $821.00 | $821.00 |