| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.43 | $427.43 | $2,290.00 | |
Medica
| Facility | $347.66 | $499.41 | $923.55 | |
Midlands
| Facility | $738.30 | $829.29 | $1,821.47 | |
Sanford Health Plan
| Professional | $397.50 | $580.20 | $752.34 | |
United
| Facility | $821.00 | $821.00 | $821.00 |