| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.66 | $1,047.66 | $4,338.00 | |
Medica
| Facility | $1,146.43 | $1,770.55 | $2,909.44 | |
Midlands
| Facility | $1,689.00 | $2,777.16 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,284.85 | $1,742.34 | $2,040.97 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |