| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,136.48 | $1,136.48 | $1,136.48 | |
Medica
| Facility | $1,399.20 | $1,920.65 | $2,989.36 | |
Midlands
| Facility | $2,074.00 | $2,647.80 | $3,479.94 | |
Sanford Health Plan
| Professional | $1,396.44 | $1,874.69 | $2,137.36 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |