| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,000.59 | $3,000.59 | $3,000.59 | |
Medica
| Facility | $3,283.05 | $4,307.64 | $8,355.07 | |
Midlands
| Facility | $4,689.22 | $7,676.94 | $10,178.07 | |
Sanford Health Plan
| Professional | $4,127.95 | $5,582.10 | $6,422.42 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |