| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,296.73 | $1,296.73 | $4,338.00 | |
Medica
| Facility | $1,405.48 | $2,191.46 | $3,762.08 | |
Midlands
| Facility | $2,154.17 | $3,244.67 | $4,492.53 | |
Sanford Health Plan
| Professional | $1,484.40 | $2,417.69 | $2,819.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |