| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $974.60 | $974.60 | $2,290.00 | |
Medica
| Facility | $1,172.59 | $1,559.45 | $2,531.96 | |
Midlands
| Facility | $1,464.90 | $2,202.78 | $3,050.28 | |
Sanford Health Plan
| Professional | $1,128.44 | $1,644.75 | $1,934.88 | |
United
| Facility | $821.00 | $821.00 | $821.00 |