| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,064.20 | $1,064.20 | $1,064.20 | |
Medica
| Facility | $1,273.03 | $1,703.84 | $2,548.62 | |
Midlands
| Facility | $1,479.11 | $2,560.19 | $8,250.46 | |
Sanford Health Plan
| Professional | $1,069.49 | $1,657.62 | $2,052.61 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |