| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.20 | $394.43 | $394.43 | |
Medica
| Facility | $409.64 | $652.82 | $1,058.60 | |
Midlands
| Facility | $765.00 | $1,021.28 | $8,364.48 | |
Sanford Health Plan
| Professional | $450.69 | $655.30 | $807.98 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |