| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $771.54 | $8,217.00 | $8,217.00 | |
Medica
| Facility | $946.63 | $1,303.90 | $2,018.76 | |
Midlands
| Facility | $1,365.00 | $1,778.82 | $2,351.59 | |
Sanford Health Plan
| Professional | $952.73 | $1,263.03 | $1,440.00 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |