| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,272.80 | $1,272.80 | $1,272.80 | |
Medica
| Facility | $1,558.20 | $2,151.03 | $3,527.84 | |
Midlands
| Facility | $1,986.12 | $3,275.75 | $4,304.81 | |
Sanford Health Plan
| Professional | $1,750.63 | $2,368.38 | $2,759.03 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |