| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,402.07 | $1,402.07 | $1,402.07 | |
Medica
| Facility | $1,716.54 | $2,369.50 | $3,587.43 | |
Midlands
| Facility | $2,357.00 | $3,181.00 | $4,214.10 | |
Sanford Health Plan
| Professional | $1,708.50 | $2,310.36 | $2,636.76 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |