| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,019.21 | $1,019.21 | $1,019.21 | |
Medica
| Facility | $1,258.26 | $1,722.46 | $2,721.66 | |
Midlands
| Facility | $1,915.00 | $2,405.38 | $3,125.38 | |
Sanford Health Plan
| Professional | $1,274.92 | $1,704.47 | $1,943.29 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |