| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $1,174.90 | $1,479.11 | $2,344.23 | |
Midlands
| Professional | $1,905.46 | $2,041.74 | $2,137.96 | |
Sanford Health Plan
| Professional | $954.99 | $1,548.82 | $1,819.70 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |