| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,273.73 | $2,273.73 | $2,273.73 | |
Medica
| Facility | $2,014.22 | $3,489.66 | $6,726.95 | |
Midlands
| Facility | $3,839.51 | $5,760.74 | $7,859.84 | |
Sanford Health Plan
| Professional | $2,576.44 | $4,328.87 | $4,946.84 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |