| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.04 | $3,195.25 | $3,195.25 | |
Medica
| Facility | $785.89 | $993.31 | $1,629.14 | |
Midlands
| Facility | $1,089.00 | $1,597.21 | $10,598.12 | |
Sanford Health Plan
| Professional | $722.59 | $1,048.25 | $1,273.09 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |