| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $1,318.26 | $1,819.70 | $3,090.30 | |
Midlands
| Professional | $2,454.71 | $2,630.27 | $2,630.27 | |
Sanford Health Plan
| Professional | $1,318.26 | $1,949.84 | $2,238.72 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |