| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.13 | $164.13 | $3,073.00 | |
Medica
| Facility | $220.02 | $277.38 | $479.64 | |
Midlands
| Facility | $313.00 | $478.39 | $2,929.96 | |
Sanford Health Plan
| Professional | $222.72 | $302.45 | $355.80 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |