| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,208.08 | $2,082.67 | $2,082.67 | |
Medica
| Facility | $1,426.92 | $2,614.92 | $4,633.59 | |
Midlands
| Facility | $2,484.52 | $4,213.93 | $8,704.82 | |
Sanford Health Plan
| Professional | $1,675.51 | $2,792.52 | $3,793.93 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |