| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,496.67 | $2,496.67 | $2,496.67 | |
Medica
| Facility | $2,400.46 | $3,894.89 | $6,524.60 | |
Midlands
| Facility | $4,314.00 | $5,568.65 | $7,588.70 | |
Sanford Health Plan
| Professional | $3,100.79 | $4,136.35 | $4,715.89 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |