| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $812.83 | $1,122.02 | $1,778.28 | |
Midlands
| Professional | $1,412.54 | $1,548.82 | $1,548.82 | |
Sanford Health Plan
| Professional | $794.33 | $1,148.15 | $1,348.96 | |
United
| Facility | $812.83 | $812.83 | $812.83 |