| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.06 | $367.06 | $3,511.00 | |
Medica
| Facility | $473.19 | $620.33 | $1,061.36 | |
Midlands
| Facility | $773.00 | $1,024.08 | $3,687.60 | |
Sanford Health Plan
| Professional | $493.45 | $659.11 | $755.58 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |