| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $4,365.16 | $5,623.41 | |
Medica
| Facility | $1,148.15 | $1,348.96 | $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 | $5,370.32 | $5,370.32 | $5,370.32 |