| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $779.61 | $779.61 | $779.61 | |
Medica
| Facility | $917.72 | $1,084.57 | $2,107.71 | |
Midlands
| Facility | $1,201.18 | $1,897.49 | $2,452.76 | |
Sanford Health Plan
| Professional | $1,003.33 | $1,355.93 | $1,548.03 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |