| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.09 | $1,233.09 | $4,338.00 | |
Medica
| Facility | $1,195.58 | $1,924.17 | $3,078.06 | |
Midlands
| Facility | $2,207.48 | $2,883.74 | $3,790.72 | |
Sanford Health Plan
| Professional | $1,550.40 | $2,056.83 | $2,345.01 | |
Sanford Health Plan
| Professional | 80 | $461.35 | $461.35 | $461.35 |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |