| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.55 | $694.55 | $3,073.00 | |
Medica
| Facility | $570.11 | $818.96 | $1,727.94 | |
Midlands
| Facility | $1,223.15 | $1,520.03 | $1,795.50 | |
Sanford Health Plan
| Professional | $706.49 | $1,069.56 | $1,258.22 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |