| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,118.99 | $1,118.99 | $3,073.00 | |
Medica
| Facility | $1,306.15 | $1,744.96 | $3,072.54 | |
Midlands
| Facility | $1,764.65 | $2,803.76 | $20,268.54 | |
Sanford Health Plan
| Professional | $1,326.34 | $1,965.14 | $2,240.86 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |