| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $811.04 | $811.04 | $4,338.00 | |
Medica
| Facility | $1,080.32 | $1,370.66 | $2,316.94 | |
Midlands
| Facility | $1,336.19 | $2,212.48 | $2,798.96 | |
Sanford Health Plan
| Professional | $1,031.08 | $1,501.23 | $1,766.04 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |