| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,303.07 | $1,303.07 | $1,303.07 | |
Medica
| Facility | $1,590.00 | $2,202.19 | $3,736.60 | |
Midlands
| Facility | $2,070.34 | $3,351.59 | $4,421.60 | |
Sanford Health Plan
| Professional | $1,815.07 | $2,480.67 | $2,828.25 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |