| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,476.89 | $1,476.89 | $4,338.00 | |
Medica
| Facility | $1,505.76 | $2,495.94 | $4,092.05 | |
Midlands
| Facility | $2,428.00 | $3,877.93 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,792.15 | $2,444.86 | $2,876.12 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |