| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,701.20 | $1,701.20 | $1,701.20 | |
Medica
| Facility | $2,000.00 | $2,875.03 | $4,765.33 | |
Midlands
| Facility | $2,678.10 | $4,397.89 | $5,797.11 | |
Sanford Health Plan
| Professional | $2,355.23 | $3,194.58 | $3,702.21 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |