| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,137.01 | $1,137.01 | $3,511.00 | |
Medica
| Facility | $1,376.27 | $1,804.31 | $3,035.74 | |
Midlands
| Facility | $1,802.85 | $2,621.75 | $3,072.28 | |
Sanford Health Plan
| Professional | $1,438.20 | $1,948.85 | $2,292.61 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |