| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,261.94 | $1,261.94 | $1,261.94 | |
Medica
| Facility | $1,329.67 | $2,275.36 | $3,600.53 | |
Midlands
| Facility | $2,066.34 | $3,097.05 | $4,161.93 | |
Sanford Health Plan
| Professional | $1,642.21 | $2,271.48 | $2,632.88 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |