| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $4,365.16 | $5,623.41 | |
Medica
| Facility | $1,230.27 | $1,584.89 | $2,511.89 | |
Midlands
| Professional | $1,995.26 | $1,995.26 | $2,089.30 | |
Sanford Health Plan
| Professional | $1,174.90 | $1,548.82 | $1,778.28 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |