| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.37 | $1,146.00 | $1,146.00 | |
Medica
| Facility | $1,146.40 | $1,575.98 | $2,375.79 | |
Midlands
| Facility | $1,386.15 | $2,197.54 | $6,855.77 | |
Sanford Health Plan
| Professional | $1,074.66 | $1,560.72 | $2,093.37 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |