| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,642.09 | $2,642.09 | $2,642.09 | |
Medica
| Facility | $2,482.13 | $3,629.39 | $6,774.68 | |
Midlands
| Facility | $3,899.00 | $6,241.40 | $7,851.49 | |
Sanford Health Plan
| Professional | $2,903.92 | $4,280.14 | $4,923.56 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |