| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $1,698.24 | $2,290.87 | $3,715.35 | |
Midlands
| Professional | $3,019.95 | $3,235.94 | $3,235.94 | |
Sanford Health Plan
| Professional | $1,778.28 | $2,454.71 | $2,818.38 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |