| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $812.83 | $1,096.48 | $1,862.09 | |
Midlands
| Professional | $1,380.38 | $1,548.82 | $1,548.82 | |
Sanford Health Plan
| Professional | $812.83 | $1,148.15 | $1,318.26 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |