| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $6,025.60 | $11,481.54 | |
Medica
| Facility | $1,096.48 | $1,548.82 | $2,570.40 | |
Midlands
| Professional | $1,905.46 | $1,995.26 | $2,089.30 | |
Sanford Health Plan
| Professional | $1,071.52 | $1,584.89 | $1,778.28 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |