| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,448.79 | $1,448.79 | $1,448.79 | |
Medica
| Facility | $1,530.92 | $2,215.64 | $4,238.47 | |
Midlands
| Facility | $2,424.21 | $3,644.20 | $5,001.42 | |
Sanford Health Plan
| Professional | $1,771.86 | $2,722.88 | $3,138.76 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |