| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,213.64 | $1,213.64 | $1,213.64 | |
Medica
| Facility | $1,295.25 | $2,051.05 | $3,537.68 | |
Midlands
| Facility | $2,037.51 | $3,058.72 | $4,099.38 | |
Sanford Health Plan
| Professional | $1,572.51 | $2,241.89 | $2,596.66 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |