| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $416.87 | $4,365.16 | |
Medica
| Facility | $165.96 | $389.05 | $912.01 | |
Midlands
| Professional | $407.38 | $416.87 | $1,023.29 | |
Sanford Health Plan
| Professional | $245.47 | $467.74 | $794.33 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |