| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,161.19 | $1,161.19 | $4,338.00 | |
Medica
| Facility | $1,528.07 | $1,918.98 | $3,062.20 | |
Midlands
| Facility | $1,932.00 | $2,874.63 | $34,373.94 | |
Sanford Health Plan
| Professional | $1,441.63 | $1,962.59 | $2,308.79 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |