| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,425.43 | $1,425.43 | $3,165.60 | |
Medica
| Facility | $1,526.27 | $2,408.98 | $4,161.28 | |
Midlands
| Facility | $2,383.28 | $3,572.90 | $4,973.28 | |
Sanford Health Plan
| Professional | $1,809.90 | $2,677.62 | $3,132.94 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |