| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,350.17 | $1,350.17 | $4,338.00 | |
Medica
| Facility | $1,331.13 | $2,037.31 | $3,980.10 | |
Midlands
| Facility | $2,218.27 | $3,479.52 | $6,855.77 | |
Sanford Health Plan
| Professional | $1,582.45 | $2,370.12 | $2,742.86 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |