| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $4,365.16 | $12,589.25 | |
Medica
| Facility | $724.44 | $2,089.30 | $8,709.64 | |
Midlands
| Professional | $1,584.89 | $1,778.28 | $10,471.29 | |
Sanford Health Plan
| Professional | $1,023.29 | $4,897.79 | $7,413.10 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |