| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $734.12 | $734.12 | $3,511.00 | |
Medica
| Facility | $960.03 | $1,208.16 | $1,911.37 | |
Midlands
| Facility | $1,102.05 | $1,810.95 | $19,953.83 | |
Sanford Health Plan
| Professional | $905.27 | $1,241.67 | $1,460.70 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |