| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,046.68 | $3,046.68 | $3,046.68 | |
Medica
| Facility | $3,287.87 | $5,148.89 | $8,945.43 | |
Midlands
| Facility | $5,106.26 | $7,684.33 | $10,647.32 | |
Sanford Health Plan
| Professional | $3,881.90 | $5,766.03 | $6,658.54 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |