| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,065.36 | $1,065.36 | $1,065.36 | |
Medica
| Facility | $1,372.47 | $1,800.48 | $3,025.50 | |
Midlands
| Facility | $1,759.29 | $2,786.00 | $3,442.38 | |
Sanford Health Plan
| Professional | $1,414.18 | $1,882.17 | $2,185.88 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |