| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,404.36 | $1,404.36 | $1,404.36 | |
Medica
| Facility | $1,831.75 | $2,340.30 | $3,923.73 | |
Midlands
| Facility | $2,209.26 | $3,305.20 | $4,703.18 | |
Sanford Health Plan
| Professional | $1,786.21 | $2,623.08 | $3,072.13 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |