| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,216.73 | $1,216.73 | $4,338.00 | |
Medica
| Facility | $993.37 | $1,473.29 | $2,907.47 | |
Midlands
| Facility | $2,102.58 | $2,591.17 | $3,942.51 | |
Sanford Health Plan
| Professional | $1,201.83 | $1,814.87 | $2,185.88 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |