| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,041.07 | $1,041.07 | $1,041.07 | |
Medica
| Facility | $1,343.63 | $1,759.41 | $2,954.30 | |
Midlands
| Facility | $1,711.24 | $2,729.48 | $3,391.28 | |
Sanford Health Plan
| Professional | $1,383.04 | $1,849.68 | $2,160.00 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |