| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,215.11 | $1,215.11 | $4,338.00 | |
Medica
| Facility | $1,417.74 | $2,053.55 | $3,390.75 | |
Midlands
| Facility | $2,017.00 | $3,252.55 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,504.56 | $2,046.95 | $2,368.94 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |