| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $843.66 | $843.66 | $5,119.47 | |
Medica
| Facility | $1,021.39 | $1,414.62 | $2,167.64 | |
Midlands
| Facility | $1,285.00 | $2,074.96 | $3,711.03 | |
Sanford Health Plan
| Professional | $1,023.73 | $1,407.50 | $1,669.65 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |