| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $2,630.27 | $4,365.16 | |
Medica
| Facility | $2,398.83 | $3,630.78 | $6,760.83 | |
Midlands
| Professional | $6,025.60 | $6,606.93 | $7,079.46 | |
Sanford Health Plan
| Professional | $3,019.95 | $4,365.16 | $5,754.40 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |