| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $954.99 | $1,230.27 | $1,905.46 | |
Midlands
| Professional | $1,513.56 | $1,659.59 | $1,659.59 | |
Sanford Health Plan
| Professional | $831.76 | $1,230.27 | $1,445.44 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |