| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $785.80 | $785.80 | $4,338.00 | |
Medica
| Facility | $1,011.64 | $1,328.00 | $2,243.76 | |
Midlands
| Facility | $1,436.00 | $2,199.88 | $7,002.24 | |
Sanford Health Plan
| Professional | $1,038.79 | $1,402.92 | $1,623.07 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |