| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $583.05 | $583.05 | $3,073.00 | |
Medica
| Facility | $761.36 | $985.37 | $1,500.83 | |
Midlands
| Facility | $953.00 | $1,433.21 | $3,711.03 | |
Sanford Health Plan
| Professional | $680.83 | $979.82 | $1,156.01 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |