| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.46 | $563.46 | $3,073.00 | |
Medica
| Facility | $748.89 | $952.25 | $1,739.26 | |
Midlands
| Facility | $1,070.00 | $1,638.91 | $3,079.87 | |
Sanford Health Plan
| Professional | $780.61 | $1,037.98 | $1,217.47 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |