| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $4,365.16 | |
Medica
| Facility | $549.54 | $776.25 | $5,370.32 | |
Midlands
| Professional | $912.01 | $1,000.00 | $1,023.29 | |
Sanford Health Plan
| Professional | $501.19 | $758.58 | $891.25 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |