| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.52 | $572.52 | $3,073.00 | |
Medica
| Facility | $747.83 | $967.56 | $1,474.06 | |
Midlands
| Facility | $953.00 | $1,426.96 | $3,711.03 | |
Sanford Health Plan
| Professional | $696.82 | $962.13 | $1,135.31 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |