| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $934.59 | $934.59 | $4,338.00 | |
Medica
| Facility | $1,119.99 | $1,579.46 | $2,614.75 | |
Midlands
| Facility | $1,600.00 | $2,535.29 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,183.24 | $1,606.31 | $1,831.37 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |