| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,172.17 | $1,172.17 | $4,338.00 | |
Medica
| Facility | $1,145.54 | $1,644.20 | $3,102.99 | |
Midlands
| Facility | $2,582.96 | $3,069.58 | $11,505.60 | |
Sanford Health Plan
| Professional | $1,437.26 | $1,955.86 | $2,295.85 | |
United
| Facility | $5,357.00 | $5,357.00 | $20,822.43 |