| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.98 | $308.98 | $4,338.00 | |
Medica
| Facility | $295.43 | $522.17 | $980.97 | |
Midlands
| Facility | $659.28 | $798.42 | $1,068.01 | |
Sanford Health Plan
| Professional | $433.11 | $551.91 | $712.49 | |
United
| Facility | $821.00 | $821.00 | $821.00 |