| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.57 | $114.57 | $2,290.00 | |
Medica
| Facility | $119.94 | $208.30 | $411.29 | |
Midlands
| Facility | $194.66 | $317.13 | $1,150.25 | |
Sanford Health Plan
| Professional | $156.12 | $208.80 | $258.77 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |