| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,510.86 | $1,510.86 | $3,511.00 | |
Medica
| Facility | $1,718.42 | $2,244.19 | $4,076.83 | |
Midlands
| Facility | $2,340.17 | $3,483.49 | $4,768.88 | |
Sanford Health Plan
| Professional | $1,588.81 | $2,613.21 | $3,026.85 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |