| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,462.65 | $1,462.65 | $1,462.65 | |
Medica
| Facility | $1,723.85 | $2,037.28 | $3,988.59 | |
Midlands
| Facility | $2,268.65 | $3,577.14 | $4,652.07 | |
Sanford Health Plan
| Professional | $1,906.75 | $2,549.33 | $2,906.52 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |