| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $499.38 | $499.38 | $3,511.00 | |
Medica
| Facility | $612.88 | $843.95 | $1,293.92 | |
Midlands
| Facility | $854.00 | $1,154.22 | $3,254.61 | |
Sanford Health Plan
| Professional | $601.85 | $817.06 | $931.54 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |