| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.06 | $412.06 | $3,073.00 | |
Medica
| Facility | $380.21 | $629.27 | $1,204.86 | |
Midlands
| Facility | $653.75 | $1,077.56 | $3,285.23 | |
Sanford Health Plan
| Professional | $469.38 | $726.41 | $866.85 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |