| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $933.25 | $1,288.25 | $1,819.70 | |
Midlands
| Professional | $1,479.11 | $1,621.81 | $1,659.59 | |
Sanford Health Plan
| Professional | $776.25 | $1,202.26 | $1,513.56 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |