| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,161.82 | $1,161.82 | $3,511.00 | |
Medica
| Facility | $1,397.25 | $1,834.90 | $3,161.57 | |
Midlands
| Facility | $2,142.67 | $3,034.70 | $34,908.94 | |
Sanford Health Plan
| Professional | $1,491.59 | $1,999.52 | $2,279.67 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |