| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $1,375.00 | $1,375.00 | |
Medica
| Facility | $1,697.97 | $2,323.75 | $3,629.76 | |
Midlands
| Facility | $2,564.00 | $3,238.89 | $4,233.89 | |
Sanford Health Plan
| Professional | $1,727.28 | $2,290.03 | $2,610.89 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |