| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,183.42 | $1,183.42 | $3,511.00 | |
Medica
| Facility | $1,375.96 | $1,999.98 | $3,055.27 | |
Midlands
| Facility | $1,749.65 | $2,808.82 | $3,542.50 | |
Sanford Health Plan
| Professional | $1,418.93 | $1,933.81 | $2,228.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |