| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,228.11 | $1,228.11 | $1,228.11 | |
Medica
| Facility | $1,622.34 | $2,075.52 | $3,290.89 | |
Midlands
| Facility | $1,898.82 | $2,844.40 | $3,905.40 | |
Sanford Health Plan
| Professional | $1,541.71 | $2,108.44 | $2,457.57 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |