| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,832.07 | $1,832.07 | $4,338.00 | |
Medica
| Facility | $1,736.11 | $2,862.51 | $4,585.47 | |
Midlands
| Facility | $3,304.38 | $4,298.93 | $5,646.96 | |
Sanford Health Plan
| Professional | $2,315.44 | $2,982.25 | $3,412.28 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |