| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,481.44 | $1,481.44 | $1,481.44 | |
Medica
| Facility | $1,982.52 | $2,503.63 | $4,277.16 | |
Midlands
| Facility | $2,461.59 | $4,055.96 | $5,093.21 | |
Sanford Health Plan
| Professional | $2,042.21 | $2,737.38 | $3,209.27 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |