| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.65 | $180.65 | $3,073.00 | |
Medica
| Facility | $243.44 | $305.30 | $498.00 | |
Midlands
| Facility | $343.34 | $502.62 | $2,173.59 | |
Sanford Health Plan
| Professional | $234.48 | $328.57 | $386.85 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |