| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,004.52 | $1,004.52 | $3,511.00 | |
Medica
| Facility | $1,319.58 | $1,697.64 | $2,642.63 | |
Midlands
| Facility | $1,518.70 | $2,486.62 | $19,757.46 | |
Sanford Health Plan
| Professional | $1,252.80 | $1,704.14 | $2,004.74 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |