| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,149.07 | $2,149.07 | $2,149.07 | |
Medica
| Facility | $2,009.60 | $2,950.10 | $5,467.12 | |
Midlands
| Facility | $3,081.00 | $5,058.77 | $6,371.71 | |
Sanford Health Plan
| Professional | $2,332.30 | $3,457.99 | $3,988.14 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |