| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $786.45 | $786.45 | $786.45 | |
Medica
| Facility | $818.26 | $1,094.04 | $2,064.17 | |
Midlands
| Facility | $1,181.69 | $1,905.04 | $2,446.48 | |
Sanford Health Plan
| Professional | $978.76 | $1,326.34 | $1,551.27 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |