| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.10 | $168.10 | $3,073.00 | |
Medica
| Facility | $175.79 | $303.92 | $511.88 | |
Midlands
| Facility | $285.17 | $457.54 | $2,030.75 | |
Sanford Health Plan
| Professional | $228.25 | $305.83 | $348.68 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |