| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $1,949.84 | $4,365.16 | |
Medica
| Facility | $1,995.26 | $2,570.40 | $4,786.30 | |
Midlands
| Professional | $4,168.69 | $4,168.69 | $4,365.16 | |
Sanford Health Plan
| Professional | $2,454.71 | $3,235.94 | $3,715.35 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |