| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,049.69 | $2,049.69 | $2,049.69 | |
Medica
| Facility | $2,100.04 | $3,264.30 | $5,427.61 | |
Midlands
| Facility | $2,958.00 | $5,324.18 | $5,472.15 | |
Sanford Health Plan
| Professional | $2,435.81 | $3,690.23 | $4,710.72 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |