| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,299.38 | $1,299.38 | $1,299.38 | |
Medica
| Facility | $1,528.70 | $2,000.00 | $3,665.47 | |
Midlands
| Facility | $2,093.91 | $3,157.86 | $4,083.74 | |
Sanford Health Plan
| Professional | $1,659.82 | $2,363.21 | $2,694.34 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |