| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $925.78 | $925.78 | $4,338.00 | |
Medica
| Facility | $1,008.02 | $1,451.59 | $2,744.35 | |
Midlands
| Facility | $1,596.38 | $2,544.50 | $3,137.89 | |
Sanford Health Plan
| Professional | $1,263.58 | $1,708.69 | $1,999.57 | |
United
| Facility | $821.00 | $821.00 | $821.00 |