| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $1,584.89 | $4,365.16 | |
Medica
| Facility | $1,174.90 | $1,380.38 | $2,290.87 | |
Midlands
| Professional | $1,862.09 | $1,862.09 | $1,949.84 | |
Sanford Health Plan
| Professional | $1,071.52 | $1,445.44 | $1,659.59 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |