| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,135.55 | $1,135.55 | $4,770.37 | |
Medica
| Facility | $1,402.47 | $1,919.08 | $3,051.19 | |
Midlands
| Facility | $2,135.00 | $2,661.03 | $3,496.63 | |
Sanford Health Plan
| Professional | $1,433.64 | $1,900.79 | $2,167.12 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |