| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $837.33 | $982.40 | $7,887.41 | |
Medica
| Facility | $1,098.28 | $1,410.20 | $2,203.73 | |
Midlands
| Facility | $1,269.48 | $2,068.89 | $3,711.03 | |
Sanford Health Plan
| Professional | $1,036.32 | $1,412.21 | $1,658.00 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |