| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.04 | $5,753.00 | $5,753.00 | |
Medica
| Facility | $227.19 | $405.04 | $1,250.55 | |
Midlands
| Facility | $426.49 | $607.96 | $2,030.75 | |
Sanford Health Plan
| Professional | $274.23 | $367.03 | $798.36 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |