| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.02 | $577.54 | $577.54 | |
Medica
| Facility | $607.20 | $861.02 | $1,341.11 | |
Midlands
| Facility | $937.40 | $1,309.59 | $3,711.03 | |
Sanford Health Plan
| Professional | $621.20 | $833.21 | $1,097.14 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |