| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,404.22 | $1,404.22 | $4,338.00 | |
Medica
| Facility | $1,402.67 | $2,373.13 | $3,883.11 | |
Midlands
| Facility | $2,287.00 | $3,663.21 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,725.55 | $2,344.01 | $2,724.10 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |