| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $1,230.27 | $1,659.59 | $2,454.71 | |
Midlands
| Professional | $1,949.84 | $2,137.96 | $2,187.76 | |
Sanford Health Plan
| Professional | $1,023.29 | $1,621.81 | $1,949.84 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |