| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,002.71 | $1,002.71 | $3,073.00 | |
Medica
| Facility | $1,215.18 | $1,694.58 | $2,502.40 | |
Midlands
| Facility | $1,443.81 | $2,222.69 | $3,135.80 | |
Sanford Health Plan
| Professional | $1,104.41 | $1,622.81 | $1,975.63 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |