| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,613.86 | $1,613.86 | $4,338.00 | |
Medica
| Facility | $1,953.27 | $2,606.83 | $4,419.12 | |
Midlands
| Facility | $2,522.03 | $4,059.05 | $5,158.89 | |
Sanford Health Plan
| Professional | $2,077.07 | $2,808.75 | $3,242.91 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |