| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $4,365.16 | $7,413.10 | |
Medica
| Facility | $87.10 | $117.49 | $288.40 | |
Midlands
| Professional | $128.82 | $169.82 | $169.82 | |
Sanford Health Plan
| Professional | $87.10 | $123.03 | $177.83 | |
United
| Facility | $1,659.59 | $1,659.59 | $1,659.59 |