| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,713.90 | $2,713.90 | $2,713.90 | |
Medica
| Facility | $2,937.43 | $3,877.77 | $7,408.73 | |
Midlands
| Facility | $4,176.39 | $6,875.65 | $9,091.44 | |
Sanford Health Plan
| Professional | $3,513.46 | $4,947.95 | $5,756.76 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |