| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,536.97 | $1,536.97 | $1,536.97 | |
Medica
| Facility | $1,805.40 | $2,348.94 | $4,150.03 | |
Midlands
| Facility | $2,357.52 | $3,737.26 | $4,859.60 | |
Sanford Health Plan
| Professional | $1,973.35 | $2,667.35 | $3,041.08 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |