| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $812.83 | $1,096.48 | $1,621.81 | |
Midlands
| Professional | $1,258.93 | $1,380.38 | $1,412.54 | |
Sanford Health Plan
| Professional | $660.69 | $1,023.29 | $1,258.93 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |