| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,313.62 | $1,313.62 | $3,073.00 | |
Medica
| Facility | $1,435.66 | $2,220.02 | $3,804.08 | |
Midlands
| Facility | $2,186.27 | $3,596.32 | $4,513.39 | |
Sanford Health Plan
| Professional | $1,723.26 | $2,421.17 | $2,840.54 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |