| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,049.26 | $1,049.26 | $3,073.00 | |
Medica
| Facility | $1,417.00 | $1,775.94 | $2,966.81 | |
Midlands
| Facility | $1,730.16 | $2,680.21 | $7,445.98 | |
Sanford Health Plan
| Professional | $1,354.13 | $1,834.97 | $2,092.07 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |