| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $21,379.62 | $39,810.72 | |
Medica
| Facility | $977.24 | $1,122.02 | $2,041.74 | |
Midlands
| Professional | $1,819.70 | $1,995.26 | $1,995.26 | |
Sanford Health Plan
| Professional | $1,122.02 | $1,445.44 | $1,621.81 | |
United
| Facility | $7,943.28 | $7,943.28 | $7,943.28 |