| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $1,174.90 | $1,513.56 | $2,398.83 | |
Midlands
| Professional | $1,949.84 | $2,137.96 | $2,137.96 | |
Sanford Health Plan
| Professional | $1,047.13 | $1,621.81 | $1,905.46 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |