| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,874.70 | $1,874.70 | $1,874.70 | |
Medica
| Facility | $1,993.37 | $3,084.81 | $5,476.16 | |
Midlands
| Facility | $3,145.72 | $4,708.32 | $6,388.41 | |
Sanford Health Plan
| Professional | $2,329.55 | $3,494.54 | $3,996.55 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |