| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,390.62 | $1,390.62 | $1,390.62 | |
Medica
| Facility | $1,487.29 | $2,175.42 | $3,750.62 | |
Midlands
| Facility | $2,518.42 | $3,120.93 | $4,287.09 | |
Sanford Health Plan
| Professional | $1,750.63 | $2,341.66 | $2,669.76 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |