| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.20 | $808.39 | $808.39 | |
Medica
| Facility | $104.81 | $291.60 | $2,000.00 | |
Midlands
| Facility | $189.47 | $1,455.69 | $2,082.60 | |
Sanford Health Plan
| Professional | $133.90 | $1,099.16 | $1,619.92 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |