| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,347.34 | $1,347.34 | $1,347.34 | |
Medica
| Facility | $1,350.00 | $2,277.00 | $3,543.57 | |
Midlands
| Facility | $2,265.00 | $3,010.87 | $4,052.46 | |
Sanford Health Plan
| Professional | $1,469.75 | $2,234.98 | $2,548.14 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |