| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $4,365.16 | $6,918.31 | |
Medica
| Facility | $2,089.30 | $2,884.03 | $4,677.35 | |
Midlands
| Professional | $3,715.35 | $4,073.80 | $4,073.80 | |
Sanford Health Plan
| Professional | $2,187.76 | $3,090.30 | $3,467.37 | |
United
| Facility | $6,606.93 | $6,606.93 | $6,606.93 |