| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,127.19 | $1,127.19 | $4,338.00 | |
Medica
| Facility | $1,020.13 | $1,748.29 | $2,834.50 | |
Midlands
| Facility | $2,151.15 | $2,257.33 | $2,688.02 | |
Sanford Health Plan
| Professional | $1,349.30 | $1,778.23 | $2,027.38 | |
United
| Facility | $7,865.00 | $7,865.00 | $7,865.00 |