| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,123.57 | $1,123.57 | $4,338.00 | |
Medica
| Facility | $1,220.92 | $1,898.83 | $3,269.01 | |
Midlands
| Facility | $1,868.12 | $2,809.01 | $3,908.54 | |
Sanford Health Plan
| Professional | $1,459.35 | $2,106.13 | $2,449.16 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |