| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,885.77 | $1,885.77 | $1,885.77 | |
Medica
| Facility | $1,768.70 | $2,587.10 | $4,918.95 | |
Midlands
| Facility | $2,835.31 | $4,439.93 | $5,595.86 | |
Sanford Health Plan
| Professional | $2,191.64 | $3,067.93 | $3,497.79 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |