| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,156.06 | $2,156.06 | $2,156.06 | |
Medica
| Facility | $2,397.28 | $3,118.03 | $6,125.06 | |
Midlands
| Facility | $3,445.55 | $5,584.69 | $7,389.53 | |
Sanford Health Plan
| Professional | $2,754.60 | $4,106.84 | $4,682.26 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |