| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $912.01 | $4,365.16 | |
Medica
| Facility | $1,174.90 | $1,513.56 | $2,511.89 | |
Midlands
| Professional | $1,995.26 | $2,089.30 | $2,238.72 | |
Sanford Health Plan
| Professional | $1,230.27 | $1,621.81 | $1,862.09 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |