| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $986.15 | $986.15 | $3,073.00 | |
Medica
| Facility | $1,260.80 | $1,631.66 | $2,631.79 | |
Midlands
| Facility | $1,824.11 | $2,593.88 | $8,759.25 | |
Sanford Health Plan
| Professional | $1,210.08 | $1,662.27 | $1,916.76 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |