| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $4,365.16 | $5,623.41 | |
Medica
| Facility | $2,041.74 | $2,630.27 | $4,365.16 | |
Midlands
| Professional | $3,388.44 | $3,548.13 | $3,715.35 | |
Sanford Health Plan
| Professional | $1,862.09 | $2,754.23 | $3,235.94 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |