| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.02 | $896.02 | $4,338.00 | |
Medica
| Facility | $1,194.38 | $1,514.27 | $2,607.94 | |
Midlands
| Facility | $1,507.86 | $2,450.19 | $3,085.76 | |
Sanford Health Plan
| Professional | $1,209.73 | $1,646.95 | $1,937.47 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |