| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.67 | $1,068.67 | $1,068.67 | |
Medica
| Facility | $1,300.50 | $1,806.05 | $2,994.65 | |
Midlands
| Facility | $1,687.72 | $2,721.98 | $3,498.71 | |
Sanford Health Plan
| Professional | $1,434.50 | $1,958.66 | $2,233.10 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |