| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.71 | $1,258.71 | $3,073.00 | |
Medica
| Facility | $1,698.28 | $2,119.14 | $3,442.27 | |
Midlands
| Facility | $1,987.38 | $3,166.94 | $9,202.58 | |
Sanford Health Plan
| Professional | $1,565.16 | $2,171.11 | $2,506.73 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |