| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.60 | $1,230.60 | $1,230.60 | |
Medica
| Facility | $1,506.29 | $2,079.73 | $3,473.63 | |
Midlands
| Facility | $1,946.87 | $3,175.49 | $4,190.10 | |
Sanford Health Plan
| Professional | $1,721.23 | $2,335.89 | $2,682.05 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |