| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.20 | $1,148.20 | $1,148.20 | |
Medica
| Facility | $811.78 | $1,352.95 | $3,012.48 | |
Midlands
| Facility | $2,019.46 | $2,502.01 | $4,970.81 | |
Sanford Health Plan
| Professional | $1,244.05 | $1,768.45 | $2,073.31 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |