| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,193.24 | $1,193.24 | $39,643.11 | |
Medica
| Facility | $1,430.87 | $2,016.58 | $3,360.14 | |
Midlands
| Facility | $2,135.00 | $3,229.35 | $64,931.51 | |
Sanford Health Plan
| Professional | $1,507.58 | $2,049.27 | $2,353.42 | |
United
| Facility | $33,000.00 | $33,000.00 | $33,000.00 |