| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $776.25 | $1,000.00 | $1,621.81 | |
Midlands
| Professional | $1,202.26 | $1,318.26 | $1,318.26 | |
Sanford Health Plan
| Professional | $660.69 | $977.24 | $1,174.90 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |