| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,106.88 | $1,106.88 | $1,106.88 | |
Medica
| Facility | $1,415.89 | $1,866.86 | $2,908.61 | |
Midlands
| Facility | $1,672.25 | $2,738.31 | $15,588.16 | |
Sanford Health Plan
| Professional | $1,376.40 | $1,877.36 | $2,208.52 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |