| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,095.58 | $1,927.14 | $1,927.14 | |
Medica
| Facility | $1,309.63 | $2,281.23 | $4,500.00 | |
Midlands
| Facility | $2,235.57 | $3,860.24 | $9,092.27 | |
Sanford Health Plan
| Professional | $1,508.15 | $2,558.12 | $3,567.07 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |