| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,104.43 | $1,104.43 | $3,511.00 | |
Medica
| Facility | $1,126.00 | $1,769.33 | $2,996.72 | |
Midlands
| Facility | $1,716.91 | $2,474.79 | $3,082.17 | |
Sanford Health Plan
| Professional | $1,413.74 | $1,927.72 | $2,279.67 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |