| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,165.69 | $1,165.69 | $1,165.69 | |
Medica
| Facility | $1,239.85 | $1,970.02 | $3,415.72 | |
Midlands
| Facility | $1,952.02 | $2,935.20 | $4,028.48 | |
Sanford Health Plan
| Professional | $1,478.53 | $2,193.16 | $2,504.15 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |