| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,057.90 | $1,057.90 | $1,057.90 | |
Medica
| Facility | $1,141.83 | $1,787.85 | $3,088.36 | |
Midlands
| Facility | $1,767.26 | $2,654.39 | $3,648.88 | |
Sanford Health Plan
| Professional | $1,440.42 | $1,981.96 | $2,290.03 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |