| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $946.40 | $946.40 | $4,338.00 | |
Medica
| Facility | $1,154.15 | $1,599.42 | $2,420.14 | |
Midlands
| Facility | $1,583.00 | $2,157.87 | $37,386.62 | |
Sanford Health Plan
| Professional | $1,153.39 | $1,527.44 | $1,741.45 | |
United
| Facility | $8,651.00 | $8,651.00 | $64,123.16 |