| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,736.78 | $2,736.78 | $2,736.78 | |
Medica
| Facility | $2,912.86 | $4,625.16 | $8,010.24 | |
Midlands
| Facility | $4,577.00 | $6,897.14 | $9,539.86 | |
Sanford Health Plan
| Professional | $3,499.13 | $5,160.88 | $5,974.77 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |