| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,099.99 | $1,099.99 | $4,338.00 | |
Medica
| Facility | $1,409.24 | $1,858.98 | $3,120.84 | |
Midlands
| Facility | $1,815.10 | $2,861.76 | $3,553.98 | |
Sanford Health Plan
| Professional | $1,435.62 | $1,941.35 | $2,256.39 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |