| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,032.09 | $15,653.61 | $15,653.61 | |
Medica
| Facility | $1,033.04 | $1,710.06 | $2,744.32 | |
Midlands
| Facility | $1,568.29 | $2,359.48 | $3,285.96 | |
Sanford Health Plan
| Professional | $1,305.98 | $1,766.71 | $2,072.02 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |