| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,168.22 | $1,168.22 | $1,168.22 | |
Medica
| Facility | $1,083.25 | $1,599.87 | $2,743.55 | |
Midlands
| Facility | $1,956.71 | $2,840.21 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,300.86 | $1,855.79 | $2,153.53 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |