| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,086.77 | $3,086.77 | $3,086.77 | |
Medica
| Facility | $3,319.21 | $4,430.00 | $8,549.56 | |
Midlands
| Facility | $4,834.08 | $7,877.42 | $10,379.34 | |
Sanford Health Plan
| Professional | $4,189.74 | $5,665.65 | $6,506.52 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |