| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,290.87 | $4,365.16 | |
Medica
| Facility | $1,202.26 | $1,513.56 | $2,630.27 | |
Midlands
| Professional | $1,698.24 | $1,819.70 | $2,041.74 | |
Sanford Health Plan
| Professional | $1,096.48 | $1,778.28 | $2,089.30 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |