| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $1,258.93 | $4,365.16 | |
Medica
| Facility | $1,023.29 | $1,621.81 | $3,311.31 | |
Midlands
| Professional | $2,818.38 | $2,884.03 | $3,090.30 | |
Sanford Health Plan
| Professional | $1,445.44 | $2,089.30 | $2,511.89 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |