| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $945.68 | $945.68 | $2,290.00 | |
Medica
| Facility | $1,139.65 | $1,561.80 | $2,478.19 | |
Midlands
| Facility | $1,438.93 | $2,167.01 | $2,972.09 | |
Sanford Health Plan
| Professional | $1,184.20 | $1,602.96 | $1,885.71 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |