| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $1,778.28 | $4,365.16 | |
Medica
| Facility | $2,187.76 | $2,951.21 | $4,677.35 | |
Midlands
| Professional | $3,801.89 | $3,801.89 | $3,981.07 | |
Sanford Health Plan
| Professional | $2,398.83 | $3,090.30 | $4,073.80 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |