| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,004.49 | $1,004.49 | $4,338.00 | |
Medica
| Facility | $1,319.92 | $1,697.59 | $2,637.85 | |
Midlands
| Facility | $1,523.09 | $2,300.92 | $3,134.75 | |
Sanford Health Plan
| Professional | $1,248.11 | $1,687.80 | $1,984.04 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |