| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $916.54 | $916.54 | $4,338.00 | |
Medica
| Facility | $1,096.80 | $1,548.95 | $2,561.09 | |
Midlands
| Facility | $1,537.00 | $2,463.07 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,139.99 | $1,552.62 | $1,793.21 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |