| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $3,235.94 | $4,365.16 | |
Medica
| Facility | $1,071.52 | $1,380.38 | $2,187.76 | |
Midlands
| Professional | $1,737.80 | $1,862.09 | $1,905.46 | |
Sanford Health Plan
| Professional | $954.99 | $1,445.44 | $1,698.24 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |