| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,829.64 | $1,829.64 | $1,829.64 | |
Medica
| Facility | $2,000.00 | $2,878.54 | $4,950.22 | |
Midlands
| Facility | $3,441.00 | $4,321.50 | $5,642.77 | |
Sanford Health Plan
| Professional | $2,323.21 | $3,069.63 | $3,499.73 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |