| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,365.16 | |
Medica
| Facility | $1,949.84 | $2,691.53 | $5,128.61 | |
Midlands
| Professional | $4,265.80 | $4,265.80 | $4,466.84 | |
Sanford Health Plan
| Professional | $1,949.84 | $3,388.44 | $3,801.89 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |