| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,821.21 | $2,821.21 | $2,821.21 | |
Medica
| Facility | $2,790.69 | $4,252.29 | $7,960.99 | |
Midlands
| Facility | $4,665.96 | $6,956.80 | $9,245.77 | |
Sanford Health Plan
| Professional | $3,378.47 | $5,036.72 | $5,743.83 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |