| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $4,365.16 | $6,918.31 | |
Medica
| Facility | $295.12 | $407.38 | $676.08 | |
Midlands
| Professional | $524.81 | $549.54 | $588.84 | |
Sanford Health Plan
| Professional | $323.59 | $426.58 | $478.63 | |
Sanford Health Plan
| Professional | 80 | $95.50 | $95.50 | $95.50 |
Sanford Health Plan
| Professional | AS | $95.50 | $95.50 | $95.50 |
United
| Facility | $812.83 | $812.83 | $812.83 |