| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $523.11 | $523.11 | $523.11 | |
Medica
| Facility | $507.93 | $817.32 | $1,372.22 | |
Midlands
| Facility | $994.75 | $1,224.08 | $1,597.63 | |
Sanford Health Plan
| Professional | $655.19 | $874.36 | $996.87 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |