| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,089.71 | $1,089.71 | $1,089.71 | |
Medica
| Facility | $1,346.92 | $1,841.61 | $2,943.47 | |
Midlands
| Facility | $2,051.00 | $2,558.46 | $3,355.84 | |
Sanford Health Plan
| Professional | $1,373.09 | $1,821.35 | $2,076.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |