| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.62 | $900.37 | $900.37 | |
Medica
| Facility | $929.67 | $1,205.08 | $2,106.05 | |
Midlands
| Facility | $1,338.10 | $1,989.79 | $11,833.19 | |
Sanford Health Plan
| Professional | $904.19 | $1,408.30 | $1,768.62 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |