| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,079.08 | $1,079.08 | $4,338.00 | |
Medica
| Facility | $1,200.43 | $1,823.66 | $2,999.97 | |
Midlands
| Facility | $1,756.00 | $2,866.26 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,325.52 | $1,799.78 | $2,095.31 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |