| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.99 | $891.99 | $4,338.00 | |
Medica
| Facility | $1,166.29 | $1,467.63 | $2,313.94 | |
Midlands
| Facility | $1,392.00 | $2,195.65 | $10,866.49 | |
Sanford Health Plan
| Professional | $1,082.58 | $1,501.30 | $1,767.98 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |