| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,265.41 | $1,265.41 | $1,265.41 | |
Medica
| Facility | $1,345.27 | $2,159.86 | $3,723.22 | |
Midlands
| Facility | $2,134.79 | $3,198.08 | $4,296.50 | |
Sanford Health Plan
| Professional | $1,710.94 | $2,366.06 | $2,697.57 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |