| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,095.02 | $1,095.02 | $1,095.02 | |
Medica
| Facility | $1,152.79 | $1,820.15 | $3,139.67 | |
Midlands
| Facility | $1,799.92 | $2,722.61 | $3,781.31 | |
Sanford Health Plan
| Professional | $1,315.89 | $2,020.26 | $2,370.23 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |