| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $946.42 | $946.42 | $3,511.00 | |
Medica
| Facility | $1,142.74 | $1,490.90 | $2,529.57 | |
Midlands
| Facility | $1,675.59 | $2,539.15 | $11,139.85 | |
Sanford Health Plan
| Professional | $1,184.56 | $1,617.60 | $1,887.01 | |
United
| Facility | $5,357.00 | $5,357.00 | $14,287.46 |