| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,676.16 | $1,676.16 | $1,676.16 | |
Medica
| Facility | $2,051.26 | $2,762.32 | $4,725.71 | |
Midlands
| Facility | $2,664.33 | $3,990.27 | $5,617.76 | |
Sanford Health Plan
| Professional | $2,255.21 | $3,142.36 | $3,590.94 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |