| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.70 | $977.70 | $4,338.00 | |
Medica
| Facility | $1,287.01 | $1,664.67 | $2,617.89 | |
Midlands
| Facility | $1,805.90 | $2,416.16 | $10,555.42 | |
Sanford Health Plan
| Professional | $1,227.68 | $1,674.46 | $1,913.53 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |