| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,740.95 | $1,740.95 | $1,740.95 | |
Medica
| Facility | $2,000.00 | $2,942.21 | $4,881.24 | |
Midlands
| Facility | $2,738.21 | $4,490.64 | $5,935.83 | |
Sanford Health Plan
| Professional | $2,420.10 | $3,278.13 | $3,796.66 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |