| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.86 | $346.65 | $346.65 | |
Medica
| Facility | $354.60 | $525.52 | $922.93 | |
Midlands
| Facility | $662.00 | $889.54 | $4,412.80 | |
Sanford Health Plan
| Professional | $392.93 | $564.10 | $706.41 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |