| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $4,365.16 | |
Medica
| Facility | $1,096.48 | $1,445.44 | $2,344.23 | |
Midlands
| Professional | $1,778.28 | $1,995.26 | $1,995.26 | |
Sanford Health Plan
| Professional | $1,000.00 | $1,445.44 | $1,698.24 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |