| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,223.84 | $1,223.84 | $1,223.84 | |
Medica
| Facility | $1,574.53 | $2,068.31 | $3,479.05 | |
Midlands
| Facility | $2,022.93 | $3,200.09 | $3,976.30 | |
Sanford Health Plan
| Professional | $1,630.84 | $2,165.89 | $2,517.09 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |