| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,209.82 | $2,209.82 | $2,209.82 | |
Medica
| Facility | $2,296.90 | $3,358.32 | $6,301.84 | |
Midlands
| Facility | $3,665.93 | $5,782.14 | $7,155.94 | |
Sanford Health Plan
| Professional | $2,948.15 | $3,915.77 | $4,550.93 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |