| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.96 | $614.22 | $614.22 | |
Medica
| Facility | $619.49 | $866.02 | $1,404.09 | |
Midlands
| Facility | $957.06 | $1,314.41 | $11,119.21 | |
Sanford Health Plan
| Professional | $634.22 | $850.67 | $1,168.30 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |