| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,355.04 | $1,355.04 | $1,355.04 | |
Medica
| Facility | $1,675.20 | $2,290.02 | $3,668.47 | |
Midlands
| Facility | $2,578.00 | $3,108.97 | $4,137.96 | |
Sanford Health Plan
| Professional | $1,708.68 | $2,225.92 | $2,531.96 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |