| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,489.68 | $1,489.68 | $1,489.68 | |
Medica
| Facility | $1,826.08 | $2,517.56 | $4,198.18 | |
Midlands
| Facility | $2,358.64 | $3,853.60 | $5,091.13 | |
Sanford Health Plan
| Professional | $2,077.92 | $2,809.91 | $3,248.08 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |