| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,124.60 | $1,124.60 | $1,124.60 | |
Medica
| Facility | $1,382.44 | $1,900.59 | $3,192.63 | |
Midlands
| Facility | $1,791.32 | $2,915.36 | $3,854.33 | |
Sanford Health Plan
| Professional | $1,579.38 | $2,147.32 | $2,464.04 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |