| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,414.96 | $2,414.96 | $2,414.96 | |
Medica
| Facility | $2,449.30 | $3,433.94 | $6,516.42 | |
Midlands
| Facility | $3,698.56 | $6,036.89 | $7,776.40 | |
Sanford Health Plan
| Professional | $2,988.61 | $4,216.31 | $4,842.05 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |