| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,851.66 | $2,851.66 | $2,851.66 | |
Medica
| Facility | $3,194.55 | $4,819.31 | $8,095.33 | |
Midlands
| Facility | $4,561.18 | $7,403.61 | $9,807.84 | |
Sanford Health Plan
| Professional | $4,018.96 | $5,432.41 | $6,238.06 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |