| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,067.04 | $1,067.04 | $4,338.00 | |
Medica
| Facility | $1,037.63 | $1,803.30 | $2,944.69 | |
Midlands
| Facility | $1,726.00 | $2,772.50 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,282.27 | $1,755.83 | $2,065.55 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |