| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,314.20 | $1,314.20 | $4,338.00 | |
Medica
| Facility | $1,628.96 | $2,162.35 | $3,557.26 | |
Midlands
| Facility | $1,700.74 | $2,121.59 | $3,123.82 | |
Sanford Health Plan
| Professional | $1,698.97 | $2,298.17 | $2,694.34 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |