| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,232.27 | $1,232.27 | $1,232.27 | |
Medica
| Facility | $1,291.71 | $2,082.54 | $3,572.57 | |
Midlands
| Facility | $2,043.68 | $3,074.89 | $4,255.81 | |
Sanford Health Plan
| Professional | $1,493.38 | $2,299.91 | $2,652.94 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |