| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,328.28 | $1,328.28 | $5,552.55 | |
Medica
| Facility | $1,550.27 | $2,244.79 | $3,706.10 | |
Midlands
| Facility | $2,209.00 | $3,560.07 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,646.84 | $2,235.51 | $2,589.54 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |