| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $1,122.02 | $1,412.54 | $2,290.87 | |
Midlands
| Professional | $1,778.28 | $1,995.26 | $1,995.26 | |
Sanford Health Plan
| Professional | $1,000.00 | $1,445.44 | $1,698.24 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |