| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.36 | $1,348.36 | $1,348.36 | |
Medica
| Facility | $1,326.51 | $1,883.44 | $3,553.87 | |
Midlands
| Facility | $2,039.84 | $3,295.95 | $4,137.96 | |
Sanford Health Plan
| Professional | $1,667.10 | $2,251.76 | $2,624.47 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |