| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,274.08 | $1,274.08 | $1,274.08 | |
Medica
| Facility | $1,551.61 | $2,000.00 | $3,668.06 | |
Midlands
| Facility | $2,081.08 | $3,258.22 | $4,183.85 | |
Sanford Health Plan
| Professional | $1,646.27 | $2,289.46 | $2,610.23 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |