| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,490.56 | $1,490.56 | $4,338.00 | |
Medica
| Facility | $1,790.86 | $2,334.26 | $3,415.90 | |
Midlands
| Facility | $2,739.86 | $3,567.39 | $4,803.29 | |
Sanford Health Plan
| Professional | $1,949.12 | $2,636.14 | $3,005.50 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |