| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,024.07 | $1,024.07 | $1,024.07 | |
Medica
| Facility | $1,077.15 | $1,730.68 | $3,127.45 | |
Midlands
| Facility | $1,703.25 | $2,562.27 | $3,437.18 | |
Sanford Health Plan
| Professional | $1,366.69 | $1,882.75 | $2,158.71 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |