| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.08 | $105.08 | $2,290.00 | |
Medica
| Facility | $110.67 | $204.76 | $375.68 | |
Midlands
| Facility | $180.01 | $300.67 | $1,150.25 | |
Sanford Health Plan
| Professional | $145.74 | $192.35 | $241.27 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |