| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $944.35 | $944.35 | $4,338.00 | |
Medica
| Facility | $1,161.19 | $1,595.95 | $2,542.88 | |
Midlands
| Facility | $1,715.00 | $2,203.50 | $2,886.57 | |
Sanford Health Plan
| Professional | $1,146.93 | $1,555.81 | $1,773.80 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |