| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,208.33 | $1,208.33 | $1,208.33 | |
Medica
| Facility | $1,602.16 | $2,042.08 | $3,329.11 | |
Midlands
| Facility | $1,905.14 | $3,013.38 | $33,121.75 | |
Sanford Health Plan
| Professional | $1,537.00 | $2,097.11 | $2,390.94 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |