| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.73 | $988.73 | $3,511.00 | |
Medica
| Facility | $1,305.15 | $1,670.95 | $2,652.28 | |
Midlands
| Facility | $1,540.83 | $2,284.21 | $2,896.58 | |
Sanford Health Plan
| Professional | $1,267.43 | $1,713.91 | $1,994.39 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |