| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,270.24 | $1,270.24 | $1,270.24 | |
Medica
| Facility | $1,546.23 | $2,071.13 | $3,563.08 | |
Midlands
| Facility | $2,030.75 | $3,234.38 | $4,199.47 | |
Sanford Health Plan
| Professional | $1,698.11 | $2,291.79 | $2,630.94 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |