| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $630.96 | $4,365.16 | |
Medica
| Facility | $758.58 | $977.24 | $1,513.56 | |
Midlands
| Professional | $1,288.25 | $1,318.26 | $1,380.38 | |
Sanford Health Plan
| Professional | $691.83 | $1,047.13 | $1,288.25 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |