| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.42 | $917.42 | $3,073.00 | |
Medica
| Facility | $1,181.75 | $1,550.44 | $2,575.78 | |
Midlands
| Facility | $1,650.00 | $2,551.71 | $4,555.17 | |
Sanford Health Plan
| Professional | $1,208.75 | $1,606.26 | $1,889.59 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |