| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,522.67 | $1,522.67 | $1,522.67 | |
Medica
| Facility | $1,790.32 | $2,573.31 | $4,096.67 | |
Midlands
| Facility | $2,331.23 | $3,707.19 | $4,816.85 | |
Sanford Health Plan
| Professional | $1,909.52 | $2,635.85 | $3,014.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |