| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $996.23 | $996.23 | $3,511.00 | |
Medica
| Facility | $1,313.93 | $1,648.63 | $2,741.93 | |
Midlands
| Facility | $1,568.76 | $2,469.81 | $10,457.19 | |
Sanford Health Plan
| Professional | $1,197.93 | $1,720.36 | $1,961.40 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |