| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $4,365.16 | |
Medica
| Facility | $588.84 | $741.31 | $1,258.93 | |
Midlands
| Professional | $1,023.29 | $1,023.29 | $1,071.52 | |
Sanford Health Plan
| Professional | $602.56 | $831.76 | $912.01 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |