| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,187.31 | $1,187.31 | $1,187.31 | |
Medica
| Facility | $1,154.57 | $1,857.87 | $3,232.08 | |
Midlands
| Facility | $2,247.00 | $2,683.53 | $3,674.94 | |
Sanford Health Plan
| Professional | $1,505.42 | $1,984.77 | $2,262.86 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |