| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,648.20 | $4,648.20 | $4,648.20 | |
Medica
| Facility | $4,716.47 | $6,457.24 | $12,813.49 | |
Midlands
| Facility | $6,036.00 | $11,380.92 | $14,815.54 | |
Sanford Health Plan
| Professional | $5,335.18 | $8,120.63 | $9,258.43 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |