| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,203.84 | $1,203.84 | $1,203.84 | |
Medica
| Facility | $1,485.03 | $2,023.99 | $3,244.57 | |
Midlands
| Facility | $1,871.91 | $2,759.91 | $3,694.78 | |
Sanford Health Plan
| Professional | $1,466.77 | $2,051.15 | $2,338.54 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |