| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,914.16 | $2,914.16 | $2,914.16 | |
Medica
| Facility | $3,852.63 | $4,832.37 | $6,828.44 | |
Midlands
| Facility | $5,266.26 | $6,725.71 | $8,461.12 | |
Sanford Health Plan
| Professional | $3,073.22 | $4,970.00 | $5,846.68 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |