| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,141.58 | $1,141.58 | $1,141.58 | |
Medica
| Facility | $1,468.60 | $1,929.29 | $3,243.33 | |
Midlands
| Facility | $1,883.62 | $2,983.42 | $3,696.84 | |
Sanford Health Plan
| Professional | $1,519.69 | $2,021.42 | $2,354.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |