| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $782.92 | $782.92 | $4,338.00 | |
Medica
| Facility | $1,008.74 | $1,286.09 | $2,199.19 | |
Midlands
| Facility | $1,804.21 | $2,161.29 | $4,555.17 | |
Sanford Health Plan
| Professional | $1,031.00 | $1,369.85 | $1,603.67 | |
Sanford Health Plan
| Professional | 80 | $306.79 | $306.79 | $306.79 |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |