| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $925.37 | $925.37 | $3,511.00 | |
Medica
| Facility | $750.23 | $1,077.71 | $2,048.44 | |
Midlands
| Facility | $1,471.44 | $1,757.35 | $2,635.25 | |
Sanford Health Plan
| Professional | $861.07 | $1,210.08 | $1,623.07 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |