| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,475.24 | $1,475.24 | $1,475.24 | |
Medica
| Facility | $1,486.05 | $2,047.00 | $3,995.44 | |
Midlands
| Facility | $2,270.71 | $3,593.14 | $4,662.49 | |
Sanford Health Plan
| Professional | $1,796.18 | $2,561.23 | $2,920.11 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |