| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.29 | $162.38 | $191.05 | |
Medica
| Facility | $219.26 | $308.77 | $420.12 | |
Midlands
| Facility | $327.74 | $404.70 | $469.84 | |
Sanford Health Plan
| Professional | $232.12 | $351.92 | $443.17 |