| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,658.39 | $1,658.39 | $1,658.39 | |
Medica
| Facility | $1,603.59 | $2,595.96 | $4,117.58 | |
Midlands
| Facility | $3,542.18 | $3,872.42 | $5,040.03 | |
Sanford Health Plan
| Professional | $2,063.32 | $2,676.36 | $3,148.46 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |