| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,664.45 | $1,664.45 | $1,664.45 | |
Medica
| Facility | $1,752.24 | $2,812.92 | $4,869.29 | |
Midlands
| Facility | $2,792.60 | $4,186.62 | $5,616.70 | |
Sanford Health Plan
| Professional | $2,236.67 | $3,074.74 | $3,505.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |