| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $4,365.16 | $5,623.41 | |
Medica
| Facility | $1,995.26 | $2,454.71 | $4,570.88 | |
Midlands
| Professional | $3,801.89 | $3,801.89 | $4,168.69 | |
Sanford Health Plan
| Professional | $2,344.23 | $2,951.21 | $3,388.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |