| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,598.60 | $1,598.60 | $1,598.60 | |
Medica
| Facility | $1,967.95 | $2,701.63 | $4,186.26 | |
Midlands
| Facility | $2,852.00 | $3,716.32 | $4,888.81 | |
Sanford Health Plan
| Professional | $1,989.79 | $2,664.51 | $3,037.84 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |