| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,398.62 | $1,398.62 | $1,398.62 | |
Medica
| Facility | $1,507.39 | $2,363.67 | $4,045.86 | |
Midlands
| Facility | $2,318.85 | $3,488.44 | $4,843.97 | |
Sanford Health Plan
| Professional | $1,809.01 | $2,605.67 | $3,023.61 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |