| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $933.25 | $1,202.26 | $1,995.26 | |
Midlands
| Professional | $1,548.82 | $1,698.24 | $1,698.24 | |
Sanford Health Plan
| Professional | $891.25 | $1,230.27 | $1,445.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |