| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $8,128.31 | $8,128.31 | |
Medica
| Facility | $1,000.00 | $1,318.26 | $2,041.74 | |
Midlands
| Professional | $1,621.81 | $1,621.81 | $1,698.24 | |
Sanford Health Plan
| Professional | $933.25 | $1,288.25 | $1,445.44 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |