| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.02 | $864.02 | $4,338.00 | |
Medica
| Facility | $1,134.35 | $1,460.19 | $2,270.69 | |
Midlands
| Facility | $1,392.00 | $2,131.60 | $20,662.61 | |
Sanford Health Plan
| Professional | $1,074.79 | $1,465.48 | $1,723.99 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |