| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.22 | $1,122.22 | $1,122.22 | |
Medica
| Facility | $1,370.88 | $1,855.10 | $3,081.05 | |
Midlands
| Facility | $1,732.36 | $2,876.00 | $3,764.62 | |
Sanford Health Plan
| Professional | $1,367.47 | $2,067.25 | $2,418.76 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |