| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,764.28 | $1,764.28 | $1,764.28 | |
Medica
| Facility | $2,000.00 | $2,740.71 | $4,533.06 | |
Midlands
| Facility | $3,009.00 | $4,047.30 | $5,323.68 | |
Sanford Health Plan
| Professional | $1,907.19 | $2,896.58 | $3,302.42 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |