| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,028.54 | $1,028.54 | $1,028.54 | |
Medica
| Facility | $1,013.31 | $1,626.57 | $2,855.50 | |
Midlands
| Facility | $1,612.45 | $2,420.84 | $3,487.22 | |
Sanford Health Plan
| Professional | $1,415.46 | $1,914.08 | $2,239.57 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |