| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,169.13 | $4,338.00 | $20,260.64 | |
Medica
| Facility | $1,561.40 | $1,975.83 | $3,484.42 | |
Midlands
| Facility | $2,243.00 | $3,460.02 | $8,568.00 | |
Sanford Health Plan
| Professional | $1,531.09 | $2,190.84 | $2,535.19 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |