| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,851.57 | $1,851.57 | $1,851.57 | |
Medica
| Facility | $2,069.40 | $2,747.37 | $5,231.13 | |
Midlands
| Facility | $2,921.43 | $4,784.68 | $6,331.04 | |
Sanford Health Plan
| Professional | $2,580.11 | $3,521.23 | $4,043.13 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |