| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $792.60 | $792.60 | $792.60 | |
Medica
| Facility | $840.00 | $1,331.72 | $1,928.88 | |
Midlands
| Facility | $1,277.00 | $1,694.86 | $2,266.06 | |
Sanford Health Plan
| Professional | $797.31 | $1,238.92 | $1,457.47 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |