| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $1,318.26 | $1,698.24 | $2,630.27 | |
Midlands
| Professional | $2,137.96 | $2,290.87 | $2,290.87 | |
Sanford Health Plan
| Professional | $1,174.90 | $1,698.24 | $1,995.26 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |