| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,360.65 | $1,360.65 | $3,511.00 | |
Medica
| Facility | $1,651.18 | $2,221.13 | $3,681.93 | |
Midlands
| Facility | $2,103.33 | $2,896.58 | $3,736.46 | |
Sanford Health Plan
| Professional | $1,747.12 | $2,362.57 | $2,760.32 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |