| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $4,365.16 | $5,623.41 | |
Medica
| Facility | $1,258.93 | $1,479.11 | $2,691.53 | |
Midlands
| Professional | $2,137.96 | $2,238.72 | $2,454.71 | |
Sanford Health Plan
| Professional | $1,380.38 | $1,737.80 | $1,995.26 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |