| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,626.46 | $2,626.46 | $2,626.46 | |
Medica
| Facility | $2,787.82 | $4,387.38 | $6,701.15 | |
Midlands
| Facility | $3,809.51 | $6,668.25 | $9,135.21 | |
Sanford Health Plan
| Professional | $2,992.73 | $4,318.43 | $5,713.42 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |