| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $4,365.16 | $6,918.31 | |
Medica
| Facility | $1,047.13 | $1,348.96 | $1,949.84 | |
Midlands
| Professional | $1,548.82 | $1,698.24 | $1,737.80 | |
Sanford Health Plan
| Professional | $812.83 | $1,288.25 | $1,548.82 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |