| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,196.52 | $1,196.52 | $4,338.00 | |
Medica
| Facility | $1,538.17 | $2,022.12 | $3,418.34 | |
Midlands
| Facility | $2,226.00 | $3,339.75 | $8,568.00 | |
Sanford Health Plan
| Professional | $1,594.08 | $2,124.69 | $2,467.92 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |