| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,385.20 | $1,385.20 | $1,385.20 | |
Medica
| Facility | $1,685.57 | $2,340.98 | $3,855.32 | |
Midlands
| Facility | $2,209.39 | $3,294.74 | $4,587.43 | |
Sanford Health Plan
| Professional | $1,693.11 | $2,522.71 | $2,928.52 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |