| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,296.00 | $1,296.00 | $1,296.00 | |
Medica
| Facility | $1,734.26 | $2,190.23 | $3,778.07 | |
Midlands
| Facility | $2,177.65 | $3,551.36 | $4,460.20 | |
Sanford Health Plan
| Professional | $1,804.49 | $2,413.63 | $2,814.66 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |