| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,261.03 | $1,261.03 | $1,261.03 | |
Medica
| Facility | $1,193.01 | $1,910.04 | $3,452.99 | |
Midlands
| Facility | $2,276.00 | $2,867.09 | $3,920.03 | |
Sanford Health Plan
| Professional | $1,605.32 | $2,067.69 | $2,344.16 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |