| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $647.27 | $3,511.00 | $11,536.06 | |
Medica
| Facility | $815.34 | $1,079.80 | $1,706.98 | |
Midlands
| Facility | $1,089.00 | $1,595.23 | $10,801.02 | |
Sanford Health Plan
| Professional | $807.06 | $1,092.52 | $1,275.04 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |