| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,665.94 | $1,665.94 | $4,338.00 | |
Medica
| Facility | $1,726.45 | $2,815.44 | $4,500.00 | |
Midlands
| Facility | $2,767.00 | $4,376.03 | $5,269.25 | |
Sanford Health Plan
| Professional | $2,038.22 | $2,778.09 | $3,268.14 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |