| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,278.02 | $1,278.02 | $3,511.00 | |
Medica
| Facility | $1,542.90 | $1,823.43 | $3,461.39 | |
Midlands
| Facility | $1,802.85 | $2,896.58 | $4,114.00 | |
Sanford Health Plan
| Professional | $1,666.74 | $2,222.75 | $2,607.65 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |