| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,060.90 | $1,060.90 | $4,338.00 | |
Medica
| Facility | $1,365.09 | $1,792.92 | $3,418.51 | |
Midlands
| Facility | $2,200.00 | $3,337.08 | $8,958.90 | |
Sanford Health Plan
| Professional | $1,559.59 | $2,066.29 | $2,174.88 | |
Sanford Health Plan
| Professional | 80 | $475.63 | $475.63 | $475.63 |
Sanford Health Plan
| Professional | AS | $475.63 | $475.63 | $475.63 |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |