| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,043.97 | $1,043.97 | $4,338.00 | |
Medica
| Facility | $846.25 | $1,215.64 | $2,318.73 | |
Midlands
| Facility | $1,539.00 | $1,854.85 | $2,380.98 | |
Sanford Health Plan
| Professional | $976.29 | $1,400.60 | $1,834.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |