| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $886.08 | $886.08 | $4,338.00 | |
Medica
| Facility | $1,120.85 | $1,497.48 | $2,446.21 | |
Midlands
| Facility | $1,402.48 | $2,393.42 | $3,077.40 | |
Sanford Health Plan
| Professional | $1,156.76 | $1,610.66 | $1,894.77 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |