| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.33 | $841.33 | $3,073.00 | |
Medica
| Facility | $1,117.22 | $1,421.85 | $2,605.73 | |
Midlands
| Facility | $1,621.00 | $2,449.39 | $10,138.50 | |
Sanford Health Plan
| Professional | $1,173.72 | $1,561.32 | $1,820.38 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |