| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.86 | $4,621.05 | $8,331.90 | |
Medica
| Facility | $1,216.66 | $1,437.87 | $2,679.13 | |
Midlands
| Facility | $1,870.00 | $2,738.40 | $8,568.00 | |
Sanford Health Plan
| Professional | $1,270.59 | $1,725.04 | $2,029.33 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |