| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.55 | $3,359.25 | $3,359.25 | |
Medica
| Facility | $797.61 | $1,025.20 | $1,595.89 | |
Midlands
| Facility | $1,089.00 | $1,496.39 | $8,250.46 | |
Sanford Health Plan
| Professional | $749.51 | $1,022.89 | $1,203.23 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |