| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.07 | $791.07 | $4,338.00 | |
Medica
| Facility | $1,053.18 | $1,248.66 | $2,225.44 | |
Midlands
| Facility | $1,286.85 | $2,284.67 | $6,152.06 | |
Sanford Health Plan
| Professional | $1,047.44 | $1,445.69 | $1,700.70 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |