| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,455.36 | $1,455.36 | $1,455.36 | |
Medica
| Facility | $1,776.75 | $2,459.56 | $4,124.76 | |
Midlands
| Facility | $2,307.48 | $3,742.40 | $4,886.72 | |
Sanford Health Plan
| Professional | $2,007.53 | $2,716.71 | $3,097.36 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |