| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,273.14 | $1,273.14 | $4,338.00 | |
Medica
| Facility | $1,251.75 | $2,151.61 | $3,522.89 | |
Midlands
| Facility | $2,010.00 | $3,290.03 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,521.97 | $2,114.92 | $2,487.98 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |