| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,529.28 | $1,529.28 | $1,529.28 | |
Medica
| Facility | $1,465.41 | $2,426.52 | $4,264.52 | |
Midlands
| Facility | $1,716.91 | $3,397.24 | $4,269.60 | |
Sanford Health Plan
| Professional | $2,009.70 | $2,717.66 | $3,131.00 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |