| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,027.66 | $1,027.66 | $4,338.00 | |
Medica
| Facility | $1,256.28 | $1,663.21 | $2,782.57 | |
Midlands
| Facility | $1,607.57 | $2,611.83 | $3,319.35 | |
Sanford Health Plan
| Professional | $1,325.58 | $1,788.82 | $2,104.37 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |