| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $806.21 | $806.21 | $3,511.00 | |
Medica
| Facility | $1,065.56 | $1,362.49 | $2,178.67 | |
Midlands
| Facility | $1,252.57 | $1,871.21 | $2,229.08 | |
Sanford Health Plan
| Professional | $1,030.88 | $1,435.24 | $1,688.41 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |