| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $5,623.41 | $40,738.03 | |
Medica
| Facility | $1,096.48 | $1,380.38 | $5,128.61 | |
Midlands
| Professional | $1,862.09 | $1,995.26 | $2,041.74 | |
Sanford Health Plan
| Professional | $1,047.13 | $1,513.56 | $1,737.80 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |