| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.41 | $223.24 | $223.24 | |
Medica
| Facility | $87.90 | $222.92 | $396.70 | |
Midlands
| Facility | $133.54 | $205.74 | $525.49 | |
Sanford Health Plan
| Professional | $97.88 | $250.07 | $395.90 | |
United
| Facility | $821.00 | $821.00 | $821.00 |