| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $794.33 | $1,000.00 | $1,584.89 | |
Midlands
| Professional | $1,258.93 | $1,380.38 | $1,380.38 | |
Sanford Health Plan
| Professional | $707.95 | $1,000.00 | $1,174.90 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |