| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.94 | $954.94 | $954.94 | |
Medica
| Facility | $997.40 | $1,613.85 | $2,920.86 | |
Midlands
| Facility | $1,579.87 | $2,373.48 | $3,250.53 | |
Sanford Health Plan
| Professional | $1,151.93 | $1,765.55 | $2,048.73 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |