| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.43 | $504.43 | $3,511.00 | |
Medica
| Facility | $658.94 | $852.49 | $1,293.20 | |
Midlands
| Facility | $927.23 | $1,236.82 | $3,711.03 | |
Sanford Health Plan
| Professional | $607.97 | $835.89 | $1,000.11 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |