| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,255.58 | $1,255.58 | $1,255.58 | |
Medica
| Facility | $1,525.35 | $2,000.00 | $3,443.42 | |
Midlands
| Facility | $1,988.37 | $3,225.55 | $4,198.47 | |
Sanford Health Plan
| Professional | $1,686.91 | $2,261.73 | $2,660.70 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |