| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,057.68 | $1,057.68 | $1,057.68 | |
Medica
| Facility | $1,359.87 | $1,787.48 | $2,995.07 | |
Midlands
| Facility | $1,730.89 | $2,763.71 | $3,483.08 | |
Sanford Health Plan
| Professional | $1,411.58 | $1,883.91 | $2,189.11 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |