| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,757.76 | $1,757.76 | $1,757.76 | |
Medica
| Facility | $2,000.00 | $2,970.61 | $4,788.85 | |
Midlands
| Facility | $3,396.00 | $4,143.67 | $5,465.49 | |
Sanford Health Plan
| Professional | $2,241.06 | $2,960.13 | $3,374.88 | |
Sanford Health Plan
| Professional | 80 | $666.86 | $666.86 | $666.86 |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |