| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.52 | $421.52 | $3,073.00 | |
Medica
| Facility | $400.57 | $653.78 | $1,059.97 | |
Midlands
| Facility | $692.00 | $1,076.66 | $1,249.31 | |
Sanford Health Plan
| Professional | $553.76 | $691.09 | $787.92 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |