| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,624.04 | $1,624.04 | $1,624.04 | |
Medica
| Facility | $2,000.00 | $2,537.01 | $4,311.34 | |
Midlands
| Facility | $2,876.00 | $3,792.89 | $4,964.93 | |
Sanford Health Plan
| Professional | $1,960.00 | $2,733.17 | $3,116.12 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |