| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,142.41 | $2,142.41 | $2,142.41 | |
Medica
| Facility | $2,095.29 | $3,620.67 | $5,854.13 | |
Midlands
| Facility | $3,957.00 | $5,038.39 | $6,627.20 | |
Sanford Health Plan
| Professional | $2,740.56 | $3,602.42 | $4,107.17 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |