| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $3,090.30 | $12,302.69 | |
Medica
| Facility | $912.01 | $1,174.90 | $1,862.09 | |
Midlands
| Professional | $1,445.44 | $1,584.89 | $1,584.89 | |
Sanford Health Plan
| Professional | $794.33 | $1,202.26 | $1,412.54 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |