| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.56 | $1,159.56 | $1,159.56 | |
Medica
| Facility | $1,514.88 | $1,941.62 | $3,231.41 | |
Midlands
| Facility | $1,854.11 | $3,004.34 | $3,843.90 | |
Sanford Health Plan
| Professional | $1,440.60 | $2,081.76 | $2,447.21 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |