| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,854.37 | $1,854.37 | $1,854.37 | |
Medica
| Facility | $1,953.37 | $3,133.89 | $5,428.67 | |
Midlands
| Facility | $3,116.88 | $4,673.18 | $6,231.98 | |
Sanford Health Plan
| Professional | $2,269.46 | $3,433.90 | $3,915.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |