| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,388.11 | $1,388.11 | $1,388.11 | |
Medica
| Facility | $1,631.93 | $2,294.92 | $3,765.16 | |
Midlands
| Facility | $2,137.82 | $3,383.90 | $4,398.68 | |
Sanford Health Plan
| Professional | $1,788.26 | $2,414.29 | $2,752.56 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |