| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,710.06 | $2,710.06 | $2,710.06 | |
Medica
| Facility | $2,901.16 | $3,870.64 | $7,759.45 | |
Midlands
| Facility | $4,298.64 | $6,883.60 | $9,064.31 | |
Sanford Health Plan
| Professional | $3,706.26 | $4,992.55 | $5,692.07 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |