| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $741.31 | $1,023.29 | $1,445.44 | |
Midlands
| Professional | $1,148.15 | $1,258.93 | $1,288.25 | |
Sanford Health Plan
| Professional | $602.56 | $933.25 | $1,174.90 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |