| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,989.67 | $1,989.67 | $1,989.67 | |
Medica
| Facility | $2,215.38 | $3,362.54 | $5,622.30 | |
Midlands
| Facility | $3,159.52 | $5,137.18 | $6,804.52 | |
Sanford Health Plan
| Professional | $2,770.84 | $3,770.14 | $4,329.05 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |