| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,260.33 | $1,260.33 | $1,260.33 | |
Medica
| Facility | $1,232.58 | $1,982.44 | $3,430.27 | |
Midlands
| Facility | $2,284.00 | $2,854.01 | $3,897.05 | |
Sanford Health Plan
| Professional | $1,601.00 | $2,119.23 | $2,416.17 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |