| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.35 | $753.35 | $753.35 | |
Medica
| Facility | $618.22 | $944.82 | $2,111.26 | |
Midlands
| Facility | $1,331.63 | $1,539.00 | $1,857.89 | |
Sanford Health Plan
| Professional | $829.08 | $1,195.51 | $1,363.02 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |