| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $4,365.16 | $4,897.79 | |
Medica
| Facility | $2,818.38 | $3,801.89 | $6,309.57 | |
Midlands
| Professional | $4,897.79 | $5,370.32 | $5,370.32 | |
Sanford Health Plan
| Professional | $2,818.38 | $4,168.69 | $4,786.30 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |