| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,196.61 | $1,196.61 | $3,073.00 | |
Medica
| Facility | $972.08 | $1,396.39 | $2,663.50 | |
Midlands
| Facility | $1,963.16 | $2,333.11 | $2,777.32 | |
Sanford Health Plan
| Professional | $1,078.83 | $1,620.50 | $2,114.07 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |