| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,405.99 | $1,405.99 | $1,405.99 | |
Medica
| Facility | $1,500.16 | $2,376.12 | $4,117.41 | |
Midlands
| Facility | $2,353.11 | $3,528.74 | $4,779.30 | |
Sanford Health Plan
| Professional | $1,848.77 | $2,654.42 | $3,035.90 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |