| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,720.82 | $1,720.82 | $1,720.82 | |
Medica
| Facility | $2,311.01 | $2,943.66 | $4,853.64 | |
Midlands
| Facility | $2,734.59 | $4,097.85 | $5,805.47 | |
Sanford Health Plan
| Professional | $2,307.13 | $3,229.97 | $3,728.08 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |