| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $1,096.48 | $1,318.26 | $2,398.83 | |
Midlands
| Professional | $1,862.09 | $1,995.26 | $2,041.74 | |
Sanford Health Plan
| Professional | $1,230.27 | $1,513.56 | $1,778.28 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |