| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $2,187.76 | $8,511.38 | |
Medica
| Facility | $1,348.96 | $1,737.80 | $2,691.53 | |
Midlands
| Professional | $2,137.96 | $2,344.23 | $2,344.23 | |
Sanford Health Plan
| Professional | $1,202.26 | $1,737.80 | $2,041.74 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |