| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,108.67 | $1,108.67 | $1,108.67 | |
Medica
| Facility | $1,294.83 | $1,873.65 | $2,852.43 | |
Midlands
| Facility | $1,643.70 | $2,649.68 | $3,316.21 | |
Sanford Health Plan
| Professional | $1,336.76 | $1,795.72 | $2,089.48 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |