| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $7,585.78 | $11,220.18 | |
Medica
| Facility | $891.25 | $1,122.02 | $5,370.32 | |
Midlands
| Professional | $1,584.89 | $1,659.59 | $1,698.24 | |
Sanford Health Plan
| Professional | $891.25 | $1,288.25 | $1,513.56 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |