| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.88 | $863.82 | $863.82 | |
Medica
| Facility | $817.29 | $1,254.21 | $2,264.23 | |
Midlands
| Facility | $1,330.00 | $2,001.23 | $2,761.41 | |
Sanford Health Plan
| Professional | $907.16 | $1,436.82 | $1,748.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |