| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.36 | $950.36 | $950.36 | |
Medica
| Facility | $1,160.52 | $1,606.11 | $2,661.21 | |
Midlands
| Facility | $1,503.05 | $2,436.86 | $3,161.88 | |
Sanford Health Plan
| Professional | $1,295.24 | $1,767.29 | $2,025.44 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |