| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.67 | $636.67 | $4,338.00 | |
Medica
| Facility | $799.33 | $1,075.99 | $1,605.50 | |
Midlands
| Facility | $1,225.04 | $1,444.28 | $1,588.26 | |
Sanford Health Plan
| Professional | $822.23 | $1,052.53 | $1,200.00 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |