| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,256.36 | $1,256.36 | $1,256.36 | |
Medica
| Facility | $1,225.11 | $1,947.60 | $3,442.66 | |
Midlands
| Facility | $2,046.11 | $3,040.09 | $4,077.47 | |
Sanford Health Plan
| Professional | $1,477.62 | $2,186.77 | $2,535.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |