| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,019.86 | $1,019.86 | $3,511.00 | |
Medica
| Facility | $1,217.74 | $1,640.33 | $2,463.19 | |
Midlands
| Facility | $1,434.75 | $2,443.03 | $3,711.03 | |
Sanford Health Plan
| Professional | $1,028.52 | $1,603.94 | $1,945.23 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |