| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,639.91 | $1,639.91 | $4,338.00 | |
Medica
| Facility | $1,138.25 | $1,913.71 | $3,686.51 | |
Midlands
| Facility | $2,380.56 | $2,852.38 | $3,831.50 | |
Sanford Health Plan
| Professional | $1,525.76 | $2,299.91 | $2,911.05 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |