| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.42 | $977.42 | $4,338.00 | |
Medica
| Facility | $1,261.33 | $1,651.84 | $2,768.87 | |
Midlands
| Facility | $1,610.02 | $2,559.92 | $3,167.08 | |
Sanford Health Plan
| Professional | $1,298.70 | $1,723.77 | $2,011.86 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |