| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,179.90 | $1,179.90 | $4,338.00 | |
Medica
| Facility | $1,345.35 | $1,994.03 | $3,288.57 | |
Midlands
| Facility | $1,939.00 | $3,163.46 | $5,269.25 | |
Sanford Health Plan
| Professional | $1,477.32 | $2,003.43 | $2,291.96 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |