| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,921.90 | $2,921.90 | $2,921.90 | |
Medica
| Facility | $3,161.09 | $4,196.20 | $8,155.85 | |
Midlands
| Facility | $4,588.52 | $7,456.45 | $9,868.34 | |
Sanford Health Plan
| Professional | $3,937.37 | $5,432.86 | $6,194.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |