| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $713.08 | $713.08 | $3,511.00 | |
Medica
| Facility | $947.09 | $1,205.10 | $2,202.36 | |
Midlands
| Facility | $1,341.00 | $2,070.62 | $4,555.17 | |
Sanford Health Plan
| Professional | $972.92 | $1,315.31 | $1,541.56 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |