| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.71 | $969.71 | $4,338.00 | |
Medica
| Facility | $1,194.83 | $1,537.30 | $2,501.23 | |
Midlands
| Facility | $1,249.28 | $1,549.29 | $2,301.55 | |
Sanford Health Plan
| Professional | $1,213.60 | $1,681.59 | $1,978.22 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |