| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.25 | $293.25 | $19,296.90 | |
Medica
| Facility | $279.91 | $495.59 | $917.94 | |
Midlands
| Facility | $577.32 | $670.35 | $851.72 | |
Sanford Health Plan
| Professional | $373.22 | $498.71 | $666.65 | |
United
| Facility | $821.00 | $821.00 | $821.00 |