| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $794.33 | $1,023.29 | $1,698.24 | |
Midlands
| Professional | $1,288.25 | $1,445.44 | $1,445.44 | |
Sanford Health Plan
| Professional | $724.44 | $1,023.29 | $1,174.90 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |