| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,564.31 | $1,564.31 | $4,338.00 | |
Medica
| Facility | $1,641.47 | $2,643.68 | $4,343.64 | |
Midlands
| Facility | $2,586.00 | $4,110.45 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,906.73 | $2,586.17 | $3,042.37 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |