| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.42 | $927.41 | $927.41 | |
Medica
| Facility | $228.63 | $843.08 | $2,260.73 | |
Midlands
| Facility | $464.28 | $1,530.61 | $2,443.38 | |
Sanford Health Plan
| Professional | $270.57 | $930.20 | $1,687.12 | |
United
| Facility | $1,643.00 | $1,643.00 | $1,643.00 |