| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $3,630.78 | $4,365.16 | |
Medica
| Facility | $1,000.00 | $1,288.25 | $2,041.74 | |
Midlands
| Professional | $1,584.89 | $1,737.80 | $1,737.80 | |
Sanford Health Plan
| Professional | $851.14 | $1,288.25 | $1,513.56 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |