| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,084.61 | $2,084.61 | $2,084.61 | |
Medica
| Facility | $2,073.39 | $3,443.02 | $5,786.12 | |
Midlands
| Facility | $3,409.10 | $5,072.21 | $6,799.26 | |
Sanford Health Plan
| Professional | $2,491.80 | $3,665.12 | $4,237.20 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |