| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,788.47 | $1,788.47 | $4,338.00 | |
Medica
| Facility | $1,759.24 | $2,808.12 | $4,498.02 | |
Midlands
| Facility | $3,321.27 | $4,230.56 | $5,642.77 | |
Sanford Health Plan
| Professional | $2,321.50 | $3,021.97 | $3,445.39 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |