| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,006.88 | $1,006.88 | $4,338.00 | |
Medica
| Facility | $1,237.98 | $1,701.63 | $2,612.25 | |
Midlands
| Facility | $1,784.00 | $2,357.71 | $3,066.98 | |
Sanford Health Plan
| Professional | $1,241.26 | $1,678.52 | $1,931.64 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |