| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,728.87 | $1,728.87 | $1,728.87 | |
Medica
| Facility | $1,879.12 | $2,921.79 | $5,020.54 | |
Midlands
| Facility | $2,867.00 | $4,318.26 | $6,001.52 | |
Sanford Health Plan
| Professional | $2,217.66 | $3,232.87 | $3,769.49 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |