| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $769.97 | $769.97 | $3,511.00 | |
Medica
| Facility | $912.31 | $1,110.42 | $1,484.49 | |
Midlands
| Facility | $1,089.00 | $1,467.68 | $2,020.28 | |
Sanford Health Plan
| Professional | $703.66 | $1,071.67 | $1,437.41 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |