| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.26 | $1,047.26 | $1,047.26 | |
Medica
| Facility | $1,389.82 | $1,860.28 | $3,133.76 | |
Midlands
| Facility | $1,823.75 | $2,884.90 | $3,561.27 | |
Sanford Health Plan
| Professional | $1,467.80 | $1,949.47 | $2,262.86 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |