| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.09 | $840.09 | $3,511.00 | |
Medica
| Facility | $1,130.07 | $1,415.38 | $2,306.11 | |
Midlands
| Facility | $1,342.53 | $2,109.19 | $7,260.61 | |
Sanford Health Plan
| Professional | $1,053.91 | $1,456.30 | $1,681.29 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |