| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.34 | $1,360.80 | $6,933.63 | |
Medica
| Facility | $1,045.70 | $1,343.85 | $1,935.55 | |
Midlands
| Facility | $1,285.00 | $1,932.62 | $3,711.03 | |
Sanford Health Plan
| Professional | $813.54 | $1,260.61 | $1,534.45 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |