| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $4,677.35 | $4,677.35 | |
Medica
| Facility | $3,019.95 | $6,025.60 | $12,882.50 | |
Midlands
| Professional | $10,232.93 | $10,471.29 | $10,964.78 | |
Sanford Health Plan
| Professional | $4,677.35 | $8,128.31 | $9,332.54 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |