| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,730.43 | $1,730.43 | $4,338.00 | |
Medica
| Facility | $2,091.69 | $2,736.89 | $4,697.67 | |
Midlands
| Facility | $3,211.64 | $4,677.99 | $32,094.40 | |
Sanford Health Plan
| Professional | $2,214.91 | $3,010.66 | $3,455.74 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |