| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,227.53 | $1,227.53 | $1,227.53 | |
Medica
| Facility | $1,514.56 | $2,074.53 | $3,284.54 | |
Midlands
| Facility | $2,245.00 | $2,894.27 | $3,766.74 | |
Sanford Health Plan
| Professional | $1,540.88 | $2,034.70 | $2,319.78 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |