| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,294.24 | $1,294.24 | $1,294.24 | |
Medica
| Facility | $1,388.41 | $2,187.27 | $3,803.61 | |
Midlands
| Facility | $2,170.94 | $3,261.35 | $4,462.28 | |
Sanford Health Plan
| Professional | $1,631.53 | $2,440.32 | $2,784.26 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |