| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,857.17 | $1,857.17 | $1,857.17 | |
Medica
| Facility | $2,000.00 | $3,138.62 | $5,047.74 | |
Midlands
| Facility | $3,372.00 | $4,196.54 | $5,733.51 | |
Sanford Health Plan
| Professional | $2,357.39 | $3,123.54 | $3,561.18 | |
Sanford Health Plan
| Professional | 80 | $701.48 | $701.48 | $701.48 |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |