| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $3,715.35 | $4,365.16 | |
Medica
| Facility | $4,570.88 | $5,370.32 | $10,715.19 | |
Midlands
| Professional | $8,709.64 | $8,912.51 | $9,120.11 | |
Sanford Health Plan
| Professional | $4,897.79 | $7,079.46 | $8,128.31 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |