| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $923.90 | $923.90 | $4,338.00 | |
Medica
| Facility | $1,120.05 | $1,464.11 | $2,345.04 | |
Midlands
| Facility | $1,386.07 | $2,116.44 | $2,947.05 | |
Sanford Health Plan
| Professional | $1,022.72 | $1,545.54 | $1,881.19 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |