| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $855.92 | $855.92 | $3,511.00 | |
Medica
| Facility | $778.89 | $1,446.50 | $2,007.21 | |
Midlands
| Facility | $1,357.00 | $2,077.07 | $5,269.25 | |
Sanford Health Plan
| Professional | $941.35 | $1,312.04 | $1,548.03 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |