| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $2,454.71 | $4,365.16 | |
Medica
| Facility | $1,995.26 | $3,235.94 | $6,025.60 | |
Midlands
| Professional | $5,248.07 | $5,248.07 | $5,495.41 | |
Sanford Health Plan
| Professional | $3,090.30 | $4,073.80 | $4,677.35 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |