| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,283.63 | $1,283.63 | $3,511.00 | |
Medica
| Facility | $1,557.11 | $2,053.33 | $3,458.46 | |
Midlands
| Facility | $1,990.51 | $2,896.58 | $3,494.13 | |
Sanford Health Plan
| Professional | $1,639.43 | $2,216.94 | $2,601.17 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |