| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,946.34 | $2,946.34 | $2,946.34 | |
Medica
| Facility | $3,040.14 | $4,212.78 | $8,140.59 | |
Midlands
| Facility | $4,615.82 | $7,439.97 | $9,484.54 | |
Sanford Health Plan
| Professional | $3,855.04 | $5,254.87 | $5,998.70 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |