| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,464.40 | $1,464.40 | $1,464.40 | |
Medica
| Facility | $1,554.18 | $2,474.84 | $4,272.88 | |
Midlands
| Facility | $2,439.21 | $3,669.85 | $5,086.93 | |
Sanford Health Plan
| Professional | $1,853.32 | $2,750.15 | $3,189.22 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |