| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,621.52 | $2,621.52 | $2,621.52 | |
Medica
| Facility | $2,604.84 | $3,705.75 | $7,062.89 | |
Midlands
| Facility | $4,080.76 | $6,561.54 | $8,310.35 | |
Sanford Health Plan
| Professional | $3,317.47 | $4,479.72 | $5,172.60 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |