| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,777.40 | $1,777.40 | $1,777.40 | |
Medica
| Facility | $2,191.62 | $3,003.81 | $4,954.80 | |
Midlands
| Facility | $2,811.79 | $4,232.41 | $5,961.89 | |
Sanford Health Plan
| Professional | $2,372.87 | $3,252.02 | $3,791.48 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |