| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,383.46 | $1,383.46 | $1,383.46 | |
Medica
| Facility | $1,780.88 | $2,104.67 | $3,959.80 | |
Midlands
| Facility | $2,298.52 | $3,621.55 | $4,474.79 | |
Sanford Health Plan
| Professional | $1,844.05 | $2,465.27 | $2,841.83 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |