| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $1,288.25 | $1,737.80 | $2,754.23 | |
Midlands
| Professional | $2,238.72 | $2,398.83 | $2,398.83 | |
Sanford Health Plan
| Professional | $1,318.26 | $1,819.70 | $2,089.30 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |