| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,063.91 | $2,063.91 | $2,063.91 | |
Medica
| Facility | $2,081.03 | $2,930.71 | $5,569.89 | |
Midlands
| Facility | $3,183.77 | $5,157.50 | $6,645.97 | |
Sanford Health Plan
| Professional | $2,523.86 | $3,589.70 | $4,113.64 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |