| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,301.83 | $1,301.83 | $4,338.00 | |
Medica
| Facility | $1,712.68 | $2,193.39 | $3,687.91 | |
Midlands
| Facility | $2,043.57 | $3,150.31 | $4,401.80 | |
Sanford Health Plan
| Professional | $1,755.68 | $2,479.77 | $2,909.11 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |