| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.03 | $753.39 | $753.39 | |
Medica
| Facility | $693.64 | $1,052.21 | $1,785.38 | |
Midlands
| Facility | $1,028.73 | $1,754.55 | $2,440.25 | |
Sanford Health Plan
| Professional | $761.96 | $1,133.13 | $1,498.87 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |