| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,052.17 | $2,052.17 | $2,052.17 | |
Medica
| Facility | $2,043.12 | $3,346.22 | $5,730.90 | |
Midlands
| Facility | $3,363.53 | $5,016.74 | $6,687.71 | |
Sanford Health Plan
| Professional | $2,449.30 | $3,630.31 | $4,177.68 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |