| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,021.94 | $1,021.94 | $4,338.00 | |
Medica
| Facility | $1,260.07 | $1,727.08 | $2,711.50 | |
Midlands
| Facility | $1,887.00 | $2,371.44 | $3,113.90 | |
Sanford Health Plan
| Professional | $1,284.00 | $1,703.33 | $1,941.99 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |