| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,241.91 | $2,241.91 | $2,241.91 | |
Medica
| Facility | $2,042.69 | $3,385.12 | $6,255.05 | |
Midlands
| Facility | $3,680.06 | $5,479.25 | $7,323.80 | |
Sanford Health Plan
| Professional | $2,697.94 | $3,951.16 | $4,570.35 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |