| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $4,365.16 | $5,623.41 | |
Medica
| Facility | $977.24 | $1,621.81 | $3,090.30 | |
Midlands
| Professional | $2,570.40 | $2,691.53 | $2,884.03 | |
Sanford Health Plan
| Professional | $1,380.38 | $1,949.84 | $2,290.87 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |