| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.76 | $921.76 | $3,511.00 | |
Medica
| Facility | $1,107.44 | $1,429.94 | $2,425.98 | |
Midlands
| Facility | $1,391.39 | $2,263.51 | $20,319.52 | |
Sanford Health Plan
| Professional | $1,146.02 | $1,564.47 | $1,840.43 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |