| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,552.01 | $1,552.01 | $4,338.00 | |
Medica
| Facility | $1,521.64 | $2,434.98 | $3,632.71 | |
Midlands
| Facility | $2,293.00 | $3,691.79 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,681.04 | $2,336.65 | $2,798.49 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |