| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $891.25 | $1,148.15 | $1,778.28 | |
Midlands
| Professional | $1,348.96 | $1,548.82 | $1,548.82 | |
Sanford Health Plan
| Professional | $812.83 | $1,122.02 | $1,318.26 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |