| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,040.94 | $1,040.94 | $1,040.94 | |
Medica
| Facility | $1,388.86 | $1,759.19 | $2,938.23 | |
Midlands
| Facility | $1,691.59 | $2,834.60 | $3,572.75 | |
Sanford Health Plan
| Professional | $1,400.09 | $1,912.00 | $2,249.27 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |