| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,303.03 | $1,303.03 | $3,511.00 | |
Medica
| Facility | $1,573.02 | $2,116.27 | $3,518.66 | |
Midlands
| Facility | $2,018.83 | $2,896.58 | $3,546.20 | |
Sanford Health Plan
| Professional | $1,663.45 | $2,249.44 | $2,616.71 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |