| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.60 | $446.60 | $2,290.00 | |
Medica
| Facility | $542.90 | $691.62 | $1,125.78 | |
Midlands
| Facility | $759.38 | $1,162.32 | $3,711.03 | |
Sanford Health Plan
| Professional | $533.32 | $733.25 | $880.43 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |