| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,197.95 | $1,197.95 | $1,197.95 | |
Medica
| Facility | $1,275.11 | $2,024.54 | $3,495.61 | |
Midlands
| Facility | $1,997.12 | $3,006.45 | $4,152.58 | |
Sanford Health Plan
| Professional | $1,512.82 | $2,252.34 | $2,601.83 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |