| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.16 | $1,048.16 | $24,928.20 | |
Medica
| Facility | $1,278.95 | $1,771.39 | $2,977.78 | |
Midlands
| Facility | $1,697.19 | $2,724.02 | $3,539.36 | |
Sanford Health Plan
| Professional | $1,439.71 | $1,932.65 | $2,263.50 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |