| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $994.12 | $994.12 | $3,511.00 | |
Medica
| Facility | $1,189.08 | $1,680.06 | $2,756.23 | |
Midlands
| Facility | $1,781.00 | $2,717.72 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,275.78 | $1,711.28 | $1,951.05 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |