| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.98 | $548.98 | $4,338.00 | |
Medica
| Facility | $593.79 | $994.88 | $1,648.57 | |
Midlands
| Facility | $890.13 | $1,459.30 | $3,960.15 | |
Sanford Health Plan
| Professional | $737.98 | $997.94 | $1,190.94 | |
United
| Facility | $3,143.00 | $3,143.00 | $7,058.12 |