| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,648.69 | $1,648.69 | $1,648.69 | |
Medica
| Facility | $1,799.58 | $2,988.62 | $5,084.31 | |
Midlands
| Facility | $2,752.48 | $4,147.93 | $5,713.67 | |
Sanford Health Plan
| Professional | $2,068.29 | $3,108.71 | $3,610.35 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |