| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $859.51 | $859.51 | $3,511.00 | |
Medica
| Facility | $1,037.01 | $1,341.30 | $2,172.84 | |
Midlands
| Facility | $1,280.34 | $2,106.31 | $10,874.32 | |
Sanford Health Plan
| Professional | $1,027.92 | $1,413.40 | $1,678.06 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |