| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,098.39 | $4,098.39 | $4,098.39 | |
Medica
| Facility | $2,415.54 | $6,421.71 | $10,786.15 | |
Midlands
| Facility | $5,911.00 | $9,172.35 | $12,495.25 | |
Sanford Health Plan
| Professional | $4,505.74 | $6,821.85 | $7,777.68 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |