| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,173.29 | $1,173.29 | $1,173.29 | |
Medica
| Facility | $951.51 | $1,366.84 | $2,607.14 | |
Midlands
| Facility | $1,933.28 | $2,297.41 | $2,777.32 | |
Sanford Health Plan
| Professional | $1,095.91 | $1,580.46 | $2,070.73 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |