| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $977.24 | $1,258.93 | $1,949.84 | |
Midlands
| Professional | $1,513.56 | $1,698.24 | $1,698.24 | |
Sanford Health Plan
| Professional | $851.14 | $1,258.93 | $1,479.11 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |