| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,314.03 | $1,314.03 | $1,314.03 | |
Medica
| Facility | $1,623.26 | $2,220.71 | $3,522.33 | |
Midlands
| Facility | $2,442.00 | $3,079.31 | $4,045.15 | |
Sanford Health Plan
| Professional | $1,665.44 | $2,195.84 | $2,503.50 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |