| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $912.01 | $1,548.82 | $3,090.30 | |
Midlands
| Professional | $2,454.71 | $2,511.89 | $2,691.53 | |
Sanford Health Plan
| Professional | $1,258.93 | $1,819.70 | $2,187.76 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |