| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.83 | $1,017.83 | $4,338.00 | |
Medica
| Facility | $1,281.28 | $1,650.65 | $2,692.18 | |
Midlands
| Facility | $1,530.84 | $2,341.56 | $3,269.28 | |
Sanford Health Plan
| Professional | $1,272.64 | $1,780.03 | $2,094.02 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |