| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,634.59 | $1,634.59 | $4,338.00 | |
Medica
| Facility | $2,000.00 | $2,626.93 | $4,800.07 | |
Midlands
| Facility | $2,764.04 | $4,478.64 | $5,632.34 | |
Sanford Health Plan
| Professional | $2,291.14 | $3,068.68 | $3,550.19 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |