| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $1,071.52 | $1,380.38 | $2,344.23 | |
Midlands
| Professional | $1,819.70 | $1,949.84 | $2,041.74 | |
Sanford Health Plan
| Professional | $1,047.13 | $1,479.11 | $1,737.80 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |