| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.56 | $32,464.35 | $35,456.40 | |
Medica
| Facility | $804.60 | $1,422.24 | $7,150.00 | |
Midlands
| Facility | $1,568.09 | $1,764.52 | $2,098.21 | |
Sanford Health Plan
| Professional | $1,053.49 | $1,387.86 | $1,582.32 | |
United
| Facility | $7,150.00 | $7,150.00 | $7,150.00 |