| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $660.69 | $1,122.02 | $2,137.96 | |
Midlands
| Professional | $1,819.70 | $1,819.70 | $1,819.70 | |
Sanford Health Plan
| Professional | $851.14 | $1,318.26 | $1,659.59 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |