| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,011.53 | $1,011.53 | $3,511.00 | |
Medica
| Facility | $944.89 | $1,583.94 | $2,354.17 | |
Midlands
| Facility | $1,463.00 | $2,343.01 | $2,918.89 | |
Sanford Health Plan
| Professional | $1,039.52 | $1,536.32 | $1,819.73 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |