| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,754.22 | $1,754.22 | $3,511.00 | |
Medica
| Facility | $2,122.04 | $2,804.61 | $4,766.39 | |
Midlands
| Facility | $2,103.33 | $3,518.29 | $4,776.72 | |
Sanford Health Plan
| Professional | $2,253.23 | $3,049.53 | $3,550.19 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |