| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,246.61 | $1,246.61 | $3,511.00 | |
Medica
| Facility | $1,508.40 | $1,998.80 | $3,340.32 | |
Midlands
| Facility | $1,925.60 | $2,873.04 | $3,913.75 | |
Sanford Health Plan
| Professional | $1,578.07 | $2,133.98 | $2,485.39 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |