| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,053.56 | $3,053.56 | $3,053.56 | |
Medica
| Facility | $3,437.27 | $5,160.52 | $8,728.58 | |
Midlands
| Facility | $4,896.56 | $7,945.36 | $10,510.72 | |
Sanford Health Plan
| Professional | $4,336.91 | $5,864.66 | $6,710.29 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |