| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.46 | $214.46 | $3,073.00 | |
Aetna
| Facility | 52 | $107.23 | $107.23 | $107.23 |
Medica
| Facility | $224.40 | $396.18 | $657.53 | |
Midlands
| Facility | $366.17 | $606.74 | $2,030.75 | |
Sanford Health Plan
| Professional | $294.52 | $390.37 | $445.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |