| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $194.98 | $363.08 | $707.95 | |
Midlands
| Professional | $512.86 | $562.34 | $575.44 | |
Sanford Health Plan
| Professional | $302.00 | $389.05 | $457.09 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |