| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $748.24 | $748.24 | $3,073.00 | |
Medica
| Facility | $984.25 | $1,280.45 | $2,012.99 | |
Midlands
| Facility | $1,159.26 | $1,823.74 | $8,250.46 | |
Sanford Health Plan
| Professional | $938.76 | $1,277.22 | $1,456.17 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |