| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,545.09 | $1,545.09 | $4,338.00 | |
Medica
| Facility | $2,026.67 | $2,554.94 | $4,183.43 | |
Midlands
| Facility | $2,362.35 | $3,566.13 | $5,094.22 | |
Sanford Health Plan
| Professional | $1,901.52 | $2,789.60 | $3,270.08 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |