| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $1,348.96 | $1,819.70 | $2,570.40 | |
Midlands
| Professional | $2,454.71 | $2,630.27 | $2,630.27 | |
Sanford Health Plan
| Professional | $1,412.54 | $1,949.84 | $2,454.71 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |