| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,368.78 | $1,368.78 | $1,368.78 | |
Medica
| Facility | $1,691.78 | $2,313.23 | $3,707.90 | |
Midlands
| Facility | $2,578.00 | $3,225.36 | $4,182.83 | |
Sanford Health Plan
| Professional | $1,739.39 | $2,307.62 | $2,630.94 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |