| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,365.16 | |
Medica
| Facility | $2,511.89 | $2,818.38 | $5,888.44 | |
Midlands
| Professional | $4,786.30 | $4,897.79 | $5,128.61 | |
Sanford Health Plan
| Professional | $2,511.89 | $3,981.07 | $4,466.84 | |
Sanford Health Plan
| Professional | 80 | $891.25 | $891.25 | $891.25 |
Sanford Health Plan
| Professional | AS | $891.25 | $891.25 | $891.25 |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |