| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $1,122.02 | $1,380.38 | $2,398.83 | |
Midlands
| Professional | $1,905.46 | $2,089.30 | $2,089.30 | |
Sanford Health Plan
| Professional | $1,047.13 | $1,548.82 | $1,819.70 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |