| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,223.30 | $2,223.30 | $2,223.30 | |
Medica
| Facility | $2,729.09 | $3,757.38 | $6,245.12 | |
Midlands
| Facility | $3,546.18 | $5,309.15 | $7,434.37 | |
Sanford Health Plan
| Professional | $2,967.86 | $4,094.47 | $4,762.47 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |