| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,321.17 | $2,321.17 | $4,338.00 | |
Medica
| Facility | $3,065.10 | $3,922.78 | $6,330.87 | |
Midlands
| Facility | $3,611.30 | $5,424.63 | $7,503.20 | |
Sanford Health Plan
| Professional | $3,004.72 | $4,109.56 | $4,743.07 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |