| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,387.68 | $1,387.68 | $1,387.68 | |
Medica
| Facility | $1,714.06 | $2,169.48 | $3,738.68 | |
Midlands
| Facility | $2,549.00 | $3,250.64 | $4,255.81 | |
Sanford Health Plan
| Professional | $1,632.70 | $2,317.83 | $2,642.59 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |