| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.03 | $827.03 | $3,073.00 | |
Medica
| Facility | $1,088.06 | $1,397.68 | $2,192.94 | |
Midlands
| Facility | $1,259.83 | $2,047.76 | $3,711.03 | |
Sanford Health Plan
| Professional | $1,026.70 | $1,399.44 | $1,630.83 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |