| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,263.17 | $2,263.17 | $2,263.17 | |
Medica
| Facility | $2,415.66 | $3,244.58 | $6,173.51 | |
Midlands
| Facility | $3,474.17 | $5,741.01 | $7,592.88 | |
Sanford Health Plan
| Professional | $2,744.54 | $4,110.14 | $4,739.18 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |