| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $828.31 | $828.31 | $4,338.00 | |
Medica
| Facility | $1,012.17 | $1,399.84 | $2,309.09 | |
Midlands
| Facility | $1,324.29 | $2,152.21 | $2,734.34 | |
Sanford Health Plan
| Professional | $1,088.22 | $1,488.99 | $1,755.69 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |