| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,728.74 | $1,728.74 | $1,728.74 | |
Medica
| Facility | $1,830.42 | $2,645.49 | $5,089.95 | |
Midlands
| Facility | $2,909.29 | $4,370.60 | $5,974.39 | |
Sanford Health Plan
| Professional | $2,143.98 | $3,267.11 | $3,752.67 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |