| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.91 | $404.11 | $5,055.71 | |
Medica
| Facility | $205.25 | $481.92 | $1,012.50 | |
Midlands
| Facility | $418.85 | $884.27 | $1,317.10 | |
Sanford Health Plan
| Professional | $280.45 | $483.55 | $785.98 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |