| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $859.70 | $859.70 | $3,511.00 | |
Medica
| Facility | $1,128.54 | $1,452.89 | $2,263.94 | |
Midlands
| Facility | $1,298.34 | $2,128.07 | $21,753.34 | |
Sanford Health Plan
| Professional | $1,069.78 | $1,452.24 | $1,707.17 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |