| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.47 | $446.47 | $4,338.00 | |
Medica
| Facility | $540.90 | $732.58 | $1,097.48 | |
Midlands
| Facility | $822.33 | $1,124.52 | $3,711.03 | |
Sanford Health Plan
| Professional | $516.16 | $709.65 | $885.61 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |