| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.70 | $303.35 | $1,748.74 | |
Medica
| Facility | $270.97 | $427.58 | $740.33 | |
Midlands
| Facility | $429.22 | $723.07 | $1,156.80 | |
Sanford Health Plan
| Professional | $321.58 | $472.86 | $601.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |