| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $4,365.16 | |
Medica
| Facility | $389.05 | $512.86 | $851.14 | |
Midlands
| Professional | $676.08 | $707.95 | $707.95 | |
Sanford Health Plan
| Professional | $389.05 | $549.54 | $616.60 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |