| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $1,445.44 | $4,365.16 | |
Medica
| Facility | $1,737.80 | $1,995.26 | $3,981.07 | |
Midlands
| Professional | $3,162.28 | $3,235.94 | $3,388.44 | |
Sanford Health Plan
| Professional | $1,949.84 | $2,630.27 | $2,884.03 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |