| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.36 | $646.36 | $3,511.00 | |
Medica
| Facility | $781.68 | $923.80 | $1,750.06 | |
Midlands
| Facility | $993.69 | $1,768.15 | $2,197.38 | |
Sanford Health Plan
| Professional | $830.34 | $1,116.84 | $1,313.85 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |