| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.31 | $861.31 | $4,338.00 | |
Medica
| Facility | $805.97 | $1,455.61 | $2,294.69 | |
Midlands
| Facility | $1,509.00 | $1,978.76 | $2,458.98 | |
Sanford Health Plan
| Professional | $1,028.83 | $1,351.55 | $1,540.92 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |