| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,335.18 | $1,335.18 | $1,335.18 | |
Medica
| Facility | $1,405.60 | $2,256.44 | $3,863.19 | |
Midlands
| Facility | $2,220.89 | $3,338.66 | $4,496.71 | |
Sanford Health Plan
| Professional | $1,705.51 | $2,451.35 | $2,817.25 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |