| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $1,174.90 | $4,365.16 | |
Medica
| Facility | $831.76 | $1,445.44 | $2,951.21 | |
Midlands
| Professional | $2,398.83 | $2,570.40 | $2,570.40 | |
Sanford Health Plan
| Professional | $1,096.48 | $1,862.09 | $2,137.96 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |