| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,123.31 | $1,123.31 | $3,511.00 | |
Medica
| Facility | $1,089.38 | $1,898.39 | $3,090.86 | |
Midlands
| Facility | $1,804.00 | $2,905.64 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,243.16 | $1,843.81 | $2,169.06 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |