| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $1,148.15 | $4,365.16 | |
Medica
| Facility | $1,348.96 | $1,513.56 | $2,951.21 | |
Midlands
| Professional | $2,398.83 | $2,570.40 | $2,630.27 | |
Sanford Health Plan
| Professional | $1,380.38 | $1,949.84 | $2,290.87 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |