| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $910.73 | $910.73 | $11,423.14 | |
Medica
| Facility | $1,110.27 | $1,461.85 | $2,446.61 | |
Midlands
| Facility | $1,507.00 | $2,453.89 | $5,090.60 | |
Sanford Health Plan
| Professional | $1,154.58 | $1,562.27 | $1,837.84 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |