| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $4,365.16 | |
Medica
| Facility | $912.01 | $1,479.11 | $2,691.53 | |
Midlands
| Professional | $2,398.83 | $2,511.89 | $2,691.53 | |
Sanford Health Plan
| Professional | $1,230.27 | $1,698.24 | $2,137.96 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |