| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,153.06 | $2,153.06 | $2,153.06 | |
Medica
| Facility | $2,237.00 | $3,638.67 | $6,140.64 | |
Midlands
| Facility | $3,563.92 | $5,638.97 | $6,990.10 | |
Sanford Health Plan
| Professional | $2,869.86 | $3,824.10 | $4,431.91 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |