| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.34 | $226.34 | $226.34 | |
Medica
| Facility | $281.33 | $382.51 | $606.44 | |
Midlands
| Facility | $398.00 | $555.72 | $4,514.33 | |
Sanford Health Plan
| Professional | $270.73 | $358.60 | $408.84 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |