| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,327.30 | $1,327.30 | $3,511.00 | |
Medica
| Facility | $1,591.58 | $2,031.57 | $2,862.58 | |
Midlands
| Facility | $1,653.10 | $2,658.11 | $3,805.78 | |
Sanford Health Plan
| Professional | $1,337.19 | $1,905.09 | $2,555.26 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |