| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.91 | $522.91 | $3,073.00 | |
Medica
| Facility | $632.20 | $880.20 | $1,295.61 | |
Midlands
| Facility | $953.00 | $1,275.11 | $3,711.03 | |
Sanford Health Plan
| Professional | $602.83 | $843.56 | $1,025.98 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |