| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $2,691.53 | $4,365.16 | |
Medica
| Facility | $3,311.31 | $3,630.78 | $7,413.10 | |
Midlands
| Professional | $5,888.44 | $6,309.57 | $6,456.54 | |
Sanford Health Plan
| Professional | $3,311.31 | $5,011.87 | $5,754.40 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |