| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $4,365.16 | $42,657.95 | |
Medica
| Facility | $933.25 | $1,096.48 | $1,995.26 | |
Midlands
| Professional | $1,584.89 | $1,778.28 | $1,862.09 | |
Sanford Health Plan
| Professional | $1,096.48 | $1,412.54 | $1,659.59 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |