| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.67 | $3,649.91 | $3,649.91 | |
Medica
| Facility | $994.99 | $1,301.08 | $1,974.73 | |
Midlands
| Facility | $1,257.44 | $1,722.92 | $2,020.28 | |
Sanford Health Plan
| Professional | $906.06 | $1,281.26 | $1,509.86 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |