| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,146.82 | $2,146.82 | $2,146.82 | |
Medica
| Facility | $2,028.02 | $3,355.36 | $5,398.34 | |
Midlands
| Facility | $3,119.00 | $4,621.54 | $6,401.97 | |
Sanford Health Plan
| Professional | $2,259.48 | $3,474.24 | $3,987.49 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |