| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $392.96 | $392.96 | $3,511.00 | |
Medica
| Facility | $487.95 | $653.34 | $1,024.81 | |
Midlands
| Facility | $753.92 | $1,033.98 | $2,173.59 | |
Sanford Health Plan
| Professional | $457.50 | $658.33 | $796.98 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |