| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,198.92 | $1,198.92 | $1,198.92 | |
Medica
| Facility | $1,459.59 | $2,000.00 | $3,339.93 | |
Midlands
| Facility | $1,887.11 | $3,066.19 | $3,993.00 | |
Sanford Health Plan
| Professional | $1,615.09 | $2,209.40 | $2,552.02 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |