| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $4,466.84 | $6,025.60 | |
Medica
| Facility | $169.82 | $223.87 | $398.11 | |
Midlands
| Professional | $316.23 | $331.13 | $338.84 | |
Sanford Health Plan
| Professional | $186.21 | $257.04 | $295.12 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |