| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $977.24 | $1,174.90 | $2,187.76 | |
Midlands
| Professional | $1,698.24 | $1,819.70 | $1,905.46 | |
Sanford Health Plan
| Professional | $1,071.52 | $1,380.38 | $1,621.81 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |