| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,539.87 | $1,539.87 | $1,539.87 | |
Medica
| Facility | $1,903.39 | $2,410.17 | $4,146.52 | |
Midlands
| Facility | $2,863.00 | $3,614.54 | $4,735.51 | |
Sanford Health Plan
| Professional | $1,947.41 | $2,552.73 | $2,910.40 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |