| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.32 | $659.32 | $3,511.00 | |
Medica
| Facility | $875.63 | $1,114.25 | $2,036.86 | |
Midlands
| Facility | $1,254.00 | $1,915.36 | $3,079.87 | |
Sanford Health Plan
| Professional | $913.81 | $1,216.09 | $1,425.12 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |