| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,358.36 | $1,358.36 | $1,358.36 | |
Medica
| Facility | $1,657.04 | $2,065.30 | $3,673.79 | |
Midlands
| Facility | $2,143.48 | $3,506.17 | $4,469.58 | |
Sanford Health Plan
| Professional | $1,799.75 | $2,475.10 | $2,911.70 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |