| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $1,071.52 | $4,365.16 | |
Medica
| Facility | $1,258.93 | $1,698.24 | $2,570.40 | |
Midlands
| Professional | $2,041.74 | $2,238.72 | $2,290.87 | |
Sanford Health Plan
| Professional | $1,071.52 | $1,659.59 | $2,041.74 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |