| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,548.13 | $6,918.31 | |
Medica
| Facility | $831.76 | $1,122.02 | $1,778.28 | |
Midlands
| Professional | $1,174.90 | $1,348.96 | $1,778.28 | |
Sanford Health Plan
| Professional | $870.96 | $1,096.48 | $1,318.26 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |