| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.46 | $818.46 | $4,338.00 | |
Medica
| Facility | $1,087.44 | $1,315.63 | $2,377.98 | |
Midlands
| Facility | $1,740.00 | $2,403.64 | $8,568.00 | |
Sanford Health Plan
| Professional | $1,104.09 | $1,499.58 | $1,764.10 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |