| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,164.90 | $1,164.90 | $4,338.00 | |
Medica
| Facility | $1,494.16 | $1,963.16 | $3,190.31 | |
Midlands
| Facility | $1,839.12 | $2,688.56 | $3,575.89 | |
Sanford Health Plan
| Professional | $1,423.22 | $1,997.82 | $2,277.73 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |