| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,244.02 | $2,244.02 | $2,244.02 | |
Medica
| Facility | $2,572.92 | $3,594.90 | $5,989.02 | |
Midlands
| Facility | $3,298.76 | $5,879.14 | $6,039.97 | |
Sanford Health Plan
| Professional | $2,695.05 | $4,074.89 | $5,232.77 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |