| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.39 | $6,457.24 | $8,550.00 | |
Medica
| Facility | $1,375.90 | $1,770.09 | $2,772.73 | |
Midlands
| Facility | $1,595.33 | $2,594.81 | $8,250.46 | |
Sanford Health Plan
| Professional | $1,306.39 | $1,777.15 | $2,084.31 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |