| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $514.00 | $988.75 | $988.75 | |
Medica
| Facility | $454.01 | $1,059.34 | $2,170.67 | |
Midlands
| Facility | $1,123.90 | $1,795.50 | $2,408.69 | |
Sanford Health Plan
| Professional | $696.92 | $1,137.58 | $1,694.88 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |