| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,030.06 | $2,030.06 | $2,030.06 | |
Medica
| Facility | $2,281.67 | $3,430.80 | $5,760.91 | |
Midlands
| Facility | $3,250.61 | $5,311.06 | $7,004.72 | |
Sanford Health Plan
| Professional | $2,856.60 | $3,862.39 | $4,459.08 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |