| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,193.14 | $1,193.14 | $4,338.00 | |
Medica
| Facility | $1,427.98 | $2,016.41 | $3,336.99 | |
Midlands
| Facility | $2,022.00 | $3,215.03 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,485.53 | $2,018.52 | $2,335.31 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |