| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $559.34 | $559.34 | $3,073.00 | |
Medica
| Facility | $677.54 | $922.33 | $1,397.87 | |
Midlands
| Facility | $953.00 | $1,370.92 | $1,969.98 | |
Sanford Health Plan
| Professional | $597.82 | $909.63 | $1,104.91 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |