| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,642.29 | $1,642.29 | $1,642.29 | |
Medica
| Facility | $1,766.44 | $2,730.26 | $4,724.62 | |
Midlands
| Facility | $2,705.74 | $4,069.77 | $5,662.60 | |
Sanford Health Plan
| Professional | $2,252.54 | $3,046.05 | $3,543.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |