| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,140.39 | $1,140.39 | $4,338.00 | |
Medica
| Facility | $1,367.92 | $1,927.26 | $3,195.35 | |
Midlands
| Facility | $1,937.00 | $3,067.83 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,424.99 | $1,940.77 | $2,232.44 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |