| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,153.23 | $2,153.23 | $3,511.00 | |
Medica
| Facility | $2,676.69 | $3,426.74 | $6,065.90 | |
Midlands
| Facility | $3,494.10 | $5,256.34 | $6,995.31 | |
Sanford Health Plan
| Professional | $2,837.78 | $3,837.44 | $4,382.10 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |