| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,591.71 | $3,591.71 | $3,591.71 | |
Medica
| Facility | $3,491.59 | $5,625.79 | $9,589.48 | |
Midlands
| Facility | $5,686.84 | $8,078.77 | $11,044.65 | |
Sanford Health Plan
| Professional | $4,547.41 | $6,007.06 | $6,848.73 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |