| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,351.81 | $1,351.81 | $4,338.00 | |
Medica
| Facility | $1,746.79 | $2,253.27 | $3,593.56 | |
Midlands
| Facility | $2,067.38 | $3,102.43 | $4,261.03 | |
Sanford Health Plan
| Professional | $1,698.64 | $2,297.01 | $2,688.52 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |