| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,014.12 | $1,014.12 | $4,338.00 | |
Medica
| Facility | $969.80 | $1,557.17 | $2,612.44 | |
Midlands
| Facility | $2,099.04 | $2,317.40 | $2,808.21 | |
Sanford Health Plan
| Professional | $1,402.26 | $1,762.31 | $1,928.97 | |
United
| Facility | $7,150.00 | $7,150.00 | $7,150.00 |