| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $23,988.33 | $25,703.96 | |
Medica
| Facility | $1,288.25 | $1,513.56 | $2,454.71 | |
Midlands
| Professional | $1,819.70 | $1,819.70 | $2,238.72 | |
Sanford Health Plan
| Professional | $1,230.27 | $1,659.59 | $2,041.74 | |
United
| Facility | $7,079.46 | $7,079.46 | $7,079.46 |