| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,072.16 | $1,072.16 | $1,072.16 | |
Medica
| Facility | $1,400.09 | $1,811.95 | $3,064.64 | |
Midlands
| Facility | $1,770.09 | $2,930.75 | $3,670.79 | |
Sanford Health Plan
| Professional | $1,468.14 | $1,974.14 | $2,322.37 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |