| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $943.14 | $943.14 | $4,338.00 | |
Medica
| Facility | $1,240.25 | $1,593.91 | $2,491.80 | |
Midlands
| Facility | $1,746.18 | $2,336.39 | $20,420.50 | |
Sanford Health Plan
| Professional | $1,173.24 | $1,597.46 | $1,879.24 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |