| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.61 | $1,162.61 | $4,338.00 | |
Medica
| Facility | $1,123.11 | $1,806.12 | $2,901.44 | |
Midlands
| Facility | $2,063.34 | $2,707.42 | $3,535.20 | |
Sanford Health Plan
| Professional | $1,446.18 | $1,932.56 | $2,203.34 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |