| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $849.04 | $849.04 | $3,511.00 | |
Medica
| Facility | $885.77 | $1,434.88 | $2,584.77 | |
Midlands
| Facility | $1,414.89 | $2,238.23 | $3,285.23 | |
Sanford Health Plan
| Professional | $1,053.95 | $1,547.39 | $1,775.09 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |