| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,422.54 | $1,422.54 | $1,422.54 | |
Medica
| Facility | $1,729.66 | $2,087.82 | $4,001.99 | |
Midlands
| Facility | $2,262.19 | $3,636.48 | $4,692.76 | |
Sanford Health Plan
| Professional | $1,731.74 | $2,614.58 | $2,980.92 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |