| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,449.96 | $2,449.96 | $2,449.96 | |
Medica
| Facility | $2,363.62 | $3,828.58 | $6,088.43 | |
Midlands
| Facility | $4,072.74 | $5,716.43 | $7,456.25 | |
Sanford Health Plan
| Professional | $3,258.15 | $4,071.10 | $4,641.51 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |