| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $831.76 | $4,365.16 | |
Medica
| Facility | $776.25 | $1,148.15 | $2,137.96 | |
Midlands
| Professional | $1,380.38 | $1,445.44 | $1,862.09 | |
Sanford Health Plan
| Professional | $912.01 | $1,288.25 | $1,659.59 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |