| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $965.28 | $4,338.00 | $24,200.13 | |
Medica
| Facility | $939.37 | $1,507.89 | $2,270.71 | |
Midlands
| Facility | $1,837.83 | $2,214.84 | $2,435.62 | |
Sanford Health Plan
| Professional | $1,129.01 | $1,619.93 | $1,846.90 | |
United
| Facility | $7,150.00 | $7,150.00 | $7,150.00 |