| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,208.57 | $2,208.57 | $2,208.57 | |
Medica
| Facility | $2,482.58 | $3,191.97 | $6,289.51 | |
Midlands
| Facility | $3,548.21 | $5,724.17 | $7,606.44 | |
Sanford Health Plan
| Professional | $2,757.35 | $4,222.12 | $4,845.28 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |