| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $932.71 | $932.71 | $3,073.00 | |
Medica
| Facility | $1,017.73 | $1,363.75 | $2,480.75 | |
Midlands
| Facility | $1,472.81 | $2,155.92 | $2,896.58 | |
Sanford Health Plan
| Professional | $1,021.60 | $1,602.51 | $1,866.95 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |