| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,265.63 | $3,265.63 | $3,265.63 | |
Medica
| Facility | $3,151.48 | $5,102.63 | $8,125.82 | |
Midlands
| Facility | $5,440.73 | $7,626.57 | $9,958.02 | |
Sanford Health Plan
| Professional | $4,350.14 | $5,426.61 | $6,186.95 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |