| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $824.86 | $824.86 | $3,511.00 | |
Medica
| Facility | $1,034.02 | $1,326.34 | $2,200.66 | |
Midlands
| Facility | $1,344.00 | $1,969.13 | $2,705.13 | |
Sanford Health Plan
| Professional | $993.69 | $1,410.47 | $1,712.34 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |