| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,488.21 | $1,488.21 | $1,488.21 | |
Medica
| Facility | $1,800.57 | $2,207.11 | $4,193.13 | |
Midlands
| Facility | $2,370.08 | $3,765.21 | $4,870.03 | |
Sanford Health Plan
| Professional | $1,977.68 | $2,658.84 | $3,031.37 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |