| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,092.50 | $1,092.50 | $1,092.50 | |
Medica
| Facility | $1,212.69 | $1,846.33 | $3,385.17 | |
Midlands
| Facility | $1,865.61 | $2,792.72 | $3,828.22 | |
Sanford Health Plan
| Professional | $1,563.74 | $2,089.73 | $2,382.53 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |