| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,651.45 | $1,651.45 | $1,651.45 | |
Medica
| Facility | $2,023.37 | $2,790.95 | $4,622.95 | |
Midlands
| Facility | $2,597.77 | $3,894.09 | $5,608.36 | |
Sanford Health Plan
| Professional | $2,230.92 | $3,087.82 | $3,558.60 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |