| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.86 | $492.86 | $3,511.00 | |
Medica
| Facility | $578.04 | $779.69 | $1,289.18 | |
Midlands
| Facility | $745.41 | $1,328.56 | $1,675.83 | |
Sanford Health Plan
| Professional | $564.44 | $849.64 | $1,049.92 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |