| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.83 | $1,122.83 | $1,122.83 | |
Medica
| Facility | $1,393.25 | $1,771.82 | $3,063.73 | |
Midlands
| Facility | $1,917.00 | $2,862.25 | $3,929.20 | |
Sanford Health Plan
| Professional | $1,445.50 | $1,954.69 | $2,277.09 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |