| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.61 | $841.61 | $841.61 | |
Medica
| Facility | $1,031.14 | $1,422.32 | $2,308.57 | |
Midlands
| Facility | $1,495.00 | $1,953.39 | $2,542.44 | |
Sanford Health Plan
| Professional | $1,097.59 | $1,397.51 | $1,593.31 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |