| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.76 | $400.76 | $400.76 | |
Medica
| Facility | $399.09 | $677.28 | $1,195.79 | |
Midlands
| Facility | $646.77 | $957.94 | $1,296.26 | |
Sanford Health Plan
| Professional | $485.83 | $711.91 | $823.50 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |