| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.66 | $794.66 | $4,338.00 | |
Medica
| Facility | $1,060.40 | $1,342.98 | $2,323.89 | |
Midlands
| Facility | $1,517.00 | $2,334.51 | $5,090.60 | |
Sanford Health Plan
| Professional | $1,077.71 | $1,462.73 | $1,720.75 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |