| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.64 | $707.64 | $707.64 | |
Medica
| Facility | $925.43 | $1,167.64 | $1,879.42 | |
Midlands
| Facility | $1,285.00 | $1,755.92 | $8,250.46 | |
Sanford Health Plan
| Professional | $883.86 | $1,195.21 | $1,374.66 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |