| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.55 | $841.55 | $841.55 | |
Medica
| Facility | $811.88 | $1,321.24 | $2,074.14 | |
Midlands
| Facility | $1,293.84 | $1,960.29 | $2,538.27 | |
Sanford Health Plan
| Professional | $1,107.07 | $1,400.34 | $1,596.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |