| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,034.49 | $1,034.49 | $1,034.49 | |
Medica
| Facility | $1,234.35 | $1,748.29 | $2,720.82 | |
Midlands
| Facility | $1,570.10 | $2,562.26 | $3,199.42 | |
Sanford Health Plan
| Professional | $1,278.65 | $1,751.98 | $2,061.02 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |