| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,450.86 | $2,450.86 | $2,450.86 | |
Medica
| Facility | $2,044.12 | $3,844.33 | $6,429.30 | |
Midlands
| Facility | $3,680.00 | $5,480.11 | $7,474.00 | |
Sanford Health Plan
| Professional | $2,687.48 | $4,094.93 | $4,668.68 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |