| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,128.32 | $1,313.98 | $1,313.98 | |
Medica
| Facility | $1,578.17 | $1,915.73 | $3,077.13 | |
Midlands
| Facility | $2,003.89 | $2,971.76 | $6,855.77 | |
Sanford Health Plan
| Professional | $1,318.21 | $2,146.26 | $2,524.85 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |