| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,340.49 | $1,340.49 | $4,338.00 | |
Medica
| Facility | $1,096.20 | $1,674.04 | $3,248.78 | |
Midlands
| Facility | $2,353.80 | $2,885.47 | $3,942.51 | |
Sanford Health Plan
| Professional | $1,336.55 | $2,024.32 | $2,409.69 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |