| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,687.78 | $2,687.78 | $2,687.78 | |
Medica
| Facility | $2,663.86 | $4,542.35 | $7,918.16 | |
Midlands
| Facility | $4,526.93 | $6,806.71 | $9,352.12 | |
Sanford Health Plan
| Professional | $3,316.35 | $5,092.42 | $5,836.98 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |