| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $251.19 | $302.00 | $426.58 | |
Midlands
| Professional | $426.58 | $426.58 | $446.68 | |
Sanford Health Plan
| Professional | $234.42 | $389.05 | $489.78 | |
United
| Facility | $812.83 | $812.83 | $812.83 |