| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.25 | $496.39 | $496.39 | |
Medica
| Facility | $159.37 | $443.61 | $1,319.72 | |
Midlands
| Facility | $323.57 | $699.13 | $1,602.85 | |
Sanford Health Plan
| Professional | $190.99 | $564.16 | $928.30 | |
United
| Facility | $821.00 | $821.00 | $821.00 |