| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,634.89 | $1,634.89 | $1,634.89 | |
Medica
| Facility | $2,195.77 | $2,786.72 | $4,566.92 | |
Midlands
| Facility | $2,581.55 | $3,879.75 | $5,508.25 | |
Sanford Health Plan
| Professional | $2,205.38 | $3,016.46 | $3,476.44 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |