| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.70 | $1,363.37 | $1,363.37 | |
Medica
| Facility | $409.00 | $1,244.78 | $3,337.26 | |
Midlands
| Facility | $830.98 | $2,482.96 | $3,989.30 | |
Sanford Health Plan
| Professional | $482.78 | $1,423.67 | $2,489.92 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |