| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.71 | $906.31 | $11,244.65 | |
Medica
| Facility | $304.69 | $1,160.51 | $2,555.37 | |
Midlands
| Facility | $569.52 | $2,243.37 | $3,894.77 | |
Sanford Health Plan
| Professional | $382.18 | $1,273.75 | $1,708.46 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |