| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,115.10 | $1,115.10 | $1,115.10 | |
Medica
| Facility | $1,403.30 | $1,873.00 | $3,153.62 | |
Midlands
| Facility | $1,814.19 | $3,058.25 | $3,811.57 | |
Sanford Health Plan
| Professional | $1,504.31 | $1,991.70 | $2,258.96 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |