| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,687.12 | $2,687.12 | $2,687.12 | |
Medica
| Facility | $2,879.30 | $3,826.75 | $7,304.47 | |
Midlands
| Facility | $4,103.22 | $6,781.74 | $8,985.04 | |
Sanford Health Plan
| Professional | $3,401.60 | $4,879.47 | $5,645.50 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |