| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,630.78 | $3,630.78 | $4,365.16 | |
Medica
| Facility | $2,089.30 | $4,786.30 | $9,120.11 | |
Midlands
| Professional | $7,762.47 | $7,762.47 | $8,128.31 | |
Sanford Health Plan
| Professional | $4,365.16 | $6,025.60 | $6,918.31 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |