| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,263.59 | $1,263.59 | $4,338.00 | |
Medica
| Facility | $1,694.78 | $2,149.76 | $3,496.67 | |
Midlands
| Facility | $1,985.60 | $3,006.52 | $4,209.92 | |
Sanford Health Plan
| Professional | $1,677.38 | $2,299.91 | $2,672.34 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |