| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,031.07 | $1,031.07 | $3,511.00 | |
Medica
| Facility | $1,197.01 | $1,742.51 | $2,639.60 | |
Midlands
| Facility | $1,517.73 | $2,439.46 | $3,080.54 | |
Sanford Health Plan
| Professional | $1,226.48 | $1,664.59 | $1,923.23 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |