| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,388.42 | $1,388.42 | $1,388.42 | |
Medica
| Facility | $1,703.19 | $2,012.86 | $3,894.34 | |
Midlands
| Facility | $2,181.27 | $3,589.01 | $4,711.52 | |
Sanford Health Plan
| Professional | $1,756.87 | $2,619.02 | $3,023.61 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |