| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,769.83 | $1,769.83 | $4,338.00 | |
Medica
| Facility | $1,724.37 | $2,673.19 | $4,979.29 | |
Midlands
| Facility | $2,926.30 | $4,573.59 | $6,855.77 | |
Sanford Health Plan
| Professional | $2,049.85 | $3,152.23 | $3,602.59 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |