| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.00 | $1,272.00 | $4,338.00 | |
Medica
| Facility | $900.62 | $1,595.27 | $3,415.36 | |
Midlands
| Facility | $2,246.29 | $2,791.50 | $3,632.18 | |
Sanford Health Plan
| Professional | $1,383.78 | $1,982.21 | $2,306.19 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |