| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $808.06 | $808.06 | $4,338.00 | |
Medica
| Facility | $1,074.97 | $1,365.62 | $2,323.46 | |
Midlands
| Facility | $1,343.29 | $2,203.39 | $2,783.32 | |
Sanford Health Plan
| Professional | $1,078.81 | $1,480.33 | $1,741.45 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |