| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,931.83 | $1,931.83 | $1,931.83 | |
Medica
| Facility | $1,914.81 | $3,024.47 | $5,033.18 | |
Midlands
| Facility | $2,561.00 | $4,276.10 | $5,870.11 | |
Sanford Health Plan
| Professional | $2,065.50 | $3,199.00 | $3,647.22 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |