| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $977.24 | $1,148.15 | $2,137.96 | |
Midlands
| Professional | $1,659.59 | $1,778.28 | $1,862.09 | |
Sanford Health Plan
| Professional | $912.01 | $1,380.38 | $1,584.89 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |