| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $3,090.30 | $9,549.93 | |
Medica
| Facility | $691.83 | $1,148.15 | $2,344.23 | |
Midlands
| Professional | $1,905.46 | $1,905.46 | $2,041.74 | |
Sanford Health Plan
| Professional | $977.24 | $1,412.54 | $1,659.59 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |