| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,270.29 | $2,270.29 | $4,338.00 | |
Medica
| Facility | $2,202.29 | $3,551.81 | $5,687.02 | |
Midlands
| Facility | $4,126.58 | $5,335.80 | $6,976.57 | |
Sanford Health Plan
| Professional | $2,908.79 | $3,786.83 | $4,317.41 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |