| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $954.99 | $1,148.15 | $2,089.30 | |
Midlands
| Professional | $1,621.81 | $1,737.80 | $1,819.70 | |
Sanford Health Plan
| Professional | $954.99 | $1,318.26 | $1,548.82 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |