| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,291.67 | $1,291.67 | $1,291.67 | |
Medica
| Facility | $1,337.57 | $2,050.16 | $3,775.29 | |
Midlands
| Facility | $2,159.54 | $3,247.53 | $4,438.30 | |
Sanford Health Plan
| Professional | $1,583.82 | $2,425.07 | $2,764.85 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |