| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $967.97 | $967.97 | $967.97 | |
Medica
| Facility | $1,016.46 | $1,635.87 | $2,804.94 | |
Midlands
| Facility | $1,608.43 | $2,417.48 | $3,251.55 | |
Sanford Health Plan
| Professional | $1,294.82 | $1,780.05 | $2,037.09 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |