| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,388.65 | $1,388.65 | $3,511.00 | |
Medica
| Facility | $1,686.12 | $2,218.51 | $3,731.11 | |
Midlands
| Facility | $2,103.33 | $2,896.58 | $3,793.90 | |
Sanford Health Plan
| Professional | $1,768.57 | $2,399.21 | $2,822.42 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |