| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,282.64 | $1,282.64 | $1,282.64 | |
Medica
| Facility | $1,569.50 | $2,167.66 | $3,591.37 | |
Midlands
| Facility | $2,021.34 | $3,309.78 | $4,374.70 | |
Sanford Health Plan
| Professional | $1,784.02 | $2,412.46 | $2,797.20 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |