| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,655.00 | $2,655.00 | $2,655.00 | |
Medica
| Facility | $2,975.58 | $4,486.95 | $7,538.95 | |
Midlands
| Facility | $4,227.72 | $6,865.21 | $9,088.29 | |
Sanford Health Plan
| Professional | $3,743.95 | $5,062.83 | $5,809.81 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |