| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.96 | $1,184.96 | $1,184.96 | |
Medica
| Facility | $1,526.74 | $2,000.00 | $3,386.33 | |
Midlands
| Facility | $1,964.54 | $3,102.42 | $3,847.01 | |
Sanford Health Plan
| Professional | $1,586.72 | $2,114.25 | $2,440.75 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |