| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.74 | $185.74 | $2,290.00 | |
Medica
| Facility | $229.44 | $313.89 | $484.79 | |
Midlands
| Facility | $320.00 | $432.81 | $553.75 | |
Sanford Health Plan
| Professional | $200.56 | $305.26 | $348.03 | |
United
| Facility | $821.00 | $821.00 | $821.00 |