| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $846.93 | $846.93 | $3,073.00 | |
Medica
| Facility | $1,047.83 | $1,311.52 | $2,228.48 | |
Midlands
| Facility | $1,267.26 | $2,000.41 | $2,824.02 | |
Sanford Health Plan
| Professional | $979.91 | $1,484.19 | $1,813.91 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |