| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,037.36 | $1,037.36 | $4,338.00 | |
Medica
| Facility | $1,186.18 | $1,753.16 | $2,889.21 | |
Midlands
| Facility | $1,705.00 | $2,770.62 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,280.98 | $1,739.44 | $2,018.97 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |