| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $1,148.15 | $4,365.16 | |
Medica
| Facility | $1,513.56 | $1,905.46 | $2,884.03 | |
Midlands
| Professional | $2,398.83 | $2,398.83 | $2,511.89 | |
Sanford Health Plan
| Professional | $1,412.54 | $1,862.09 | $2,137.96 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |