| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,036.43 | $1,036.43 | $1,036.43 | |
Medica
| Facility | $841.18 | $1,208.35 | $2,304.83 | |
Midlands
| Facility | $1,688.04 | $2,021.51 | $2,777.32 | |
Sanford Health Plan
| Professional | $965.79 | $1,390.74 | $1,827.49 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |