| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,781.13 | $1,781.13 | $1,781.13 | |
Medica
| Facility | $2,000.00 | $3,010.11 | $4,696.75 | |
Midlands
| Facility | $3,804.19 | $4,652.85 | $6,292.00 | |
Sanford Health Plan
| Professional | $2,241.06 | $2,974.97 | $3,676.92 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |