| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,713.37 | $2,713.37 | $2,713.37 | |
Medica
| Facility | $2,573.21 | $3,757.12 | $7,351.50 | |
Midlands
| Facility | $4,157.29 | $6,598.94 | $8,578.35 | |
Sanford Health Plan
| Professional | $3,275.64 | $4,701.47 | $5,360.21 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |