| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,710.67 | $3,710.67 | $3,710.67 | |
Medica
| Facility | $4,168.95 | $6,271.03 | $10,685.08 | |
Midlands
| Facility | $5,983.78 | $9,666.62 | $12,842.48 | |
Sanford Health Plan
| Professional | $5,316.86 | $7,133.35 | $8,132.83 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |