| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,939.49 | $1,939.49 | $1,939.49 | |
Medica
| Facility | $2,135.50 | $3,069.12 | $5,736.10 | |
Midlands
| Facility | $3,305.67 | $5,326.27 | $6,687.71 | |
Sanford Health Plan
| Professional | $2,650.73 | $3,668.02 | $4,222.96 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |