| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.16 | $21,588.00 | $62,074.17 | |
Medica
| Facility | $823.25 | $1,168.23 | $2,053.06 | |
Midlands
| Facility | $1,389.52 | $2,305.23 | $60,705.83 | |
Sanford Health Plan
| Professional | $1,152.01 | $1,430.98 | $1,632.29 | |
United
| Facility | $7,865.00 | $7,865.00 | $7,865.00 |