| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,305.96 | $2,305.96 | $2,305.96 | |
Medica
| Facility | $2,217.30 | $3,594.85 | $5,716.43 | |
Midlands
| Facility | $4,237.07 | $5,357.81 | $7,015.14 | |
Sanford Health Plan
| Professional | $2,859.92 | $3,821.44 | $4,356.87 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |