| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,336.51 | $2,336.51 | $2,336.51 | |
Medica
| Facility | $2,859.76 | $3,948.70 | $6,634.45 | |
Midlands
| Facility | $3,697.96 | $5,604.41 | $7,984.99 | |
Sanford Health Plan
| Professional | $3,185.18 | $4,468.12 | $5,106.63 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |