| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,207.54 | $1,207.54 | $4,338.00 | |
Medica
| Facility | $1,618.17 | $2,000.00 | $3,572.10 | |
Midlands
| Facility | $2,058.91 | $3,317.84 | $4,162.99 | |
Sanford Health Plan
| Professional | $1,698.97 | $2,276.69 | $2,634.82 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |