| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.99 | $825.99 | $3,511.00 | |
Medica
| Facility | $1,083.43 | $1,362.17 | $2,159.78 | |
Midlands
| Facility | $1,239.40 | $2,025.75 | $8,250.46 | |
Sanford Health Plan
| Professional | $1,019.81 | $1,381.46 | $1,615.96 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |