| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,128.21 | $2,128.21 | $2,128.21 | |
Medica
| Facility | $2,129.69 | $3,025.12 | $5,750.04 | |
Midlands
| Facility | $3,294.56 | $5,321.79 | $6,737.76 | |
Sanford Health Plan
| Professional | $2,687.80 | $3,650.62 | $4,219.08 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |