| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $4,365.16 | |
Medica
| Facility | $2,454.71 | $3,801.89 | $7,943.28 | |
Midlands
| Professional | $6,456.54 | $6,918.31 | $7,244.36 | |
Sanford Health Plan
| Professional | $3,388.44 | $4,786.30 | $5,754.40 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |