| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $93.33 | $154.88 | $323.59 | |
Midlands
| Professional | $257.04 | $263.03 | $275.42 | |
Sanford Health Plan
| Professional | $144.54 | $194.98 | $229.09 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |