| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,887.86 | $1,887.86 | $4,338.00 | |
Medica
| Facility | $1,891.07 | $2,771.52 | $5,118.58 | |
Midlands
| Facility | $2,930.66 | $4,355.05 | $5,980.67 | |
Sanford Health Plan
| Professional | $1,956.99 | $3,279.87 | $3,785.66 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |