| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,717.85 | $2,717.85 | $2,717.85 | |
Medica
| Facility | $2,926.36 | $3,911.76 | $7,367.94 | |
Midlands
| Facility | $4,139.28 | $6,961.48 | $9,267.66 | |
Sanford Health Plan
| Professional | $3,666.29 | $4,957.81 | $5,732.83 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |