| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,552.21 | $1,552.21 | $1,552.21 | |
Medica
| Facility | $1,818.87 | $2,149.58 | $4,208.38 | |
Midlands
| Facility | $2,390.10 | $3,773.66 | $4,912.79 | |
Sanford Health Plan
| Professional | $2,001.47 | $2,688.34 | $3,065.01 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |