| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $1,071.52 | $1,479.11 | $2,187.76 | |
Midlands
| Professional | $1,778.28 | $1,949.84 | $1,949.84 | |
Sanford Health Plan
| Professional | $977.24 | $1,445.44 | $1,737.80 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |