| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,176.90 | $1,176.90 | $1,176.90 | |
Medica
| Facility | $962.44 | $1,456.40 | $2,836.51 | |
Midlands
| Facility | $1,821.47 | $2,125.04 | $2,861.36 | |
Sanford Health Plan
| Professional | $1,165.11 | $1,769.61 | $2,110.19 | |
United
| Facility | $2,714.00 | $2,714.00 | $4,561.46 |