| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,047.13 | $4,365.16 | |
Medica
| Facility | $724.44 | $1,202.26 | $2,344.23 | |
Midlands
| Professional | $1,995.26 | $1,995.26 | $2,041.74 | |
Sanford Health Plan
| Professional | $933.25 | $1,445.44 | $1,819.70 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |