| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,327.29 | $1,327.29 | $4,338.00 | |
Medica
| Facility | $1,449.49 | $2,243.12 | $3,890.94 | |
Midlands
| Facility | $2,226.01 | $3,354.13 | $4,620.79 | |
Sanford Health Plan
| Professional | $1,628.29 | $2,499.50 | $2,907.82 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |