| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,442.89 | $1,442.89 | $1,442.89 | |
Medica
| Facility | $1,762.12 | $2,438.48 | $4,051.62 | |
Midlands
| Facility | $2,289.19 | $3,715.17 | $4,865.87 | |
Sanford Health Plan
| Professional | $1,982.87 | $2,685.17 | $3,091.54 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |