| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,019.82 | $2,019.82 | $2,019.82 | |
Medica
| Facility | $1,947.58 | $3,163.46 | $5,254.66 | |
Midlands
| Facility | $2,208.00 | $4,465.88 | $6,126.63 | |
Sanford Health Plan
| Professional | $2,277.65 | $3,356.17 | $3,826.41 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |