| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,365.16 | $6,918.31 | |
Medica
| Facility | $1,584.89 | $2,398.83 | $5,011.87 | |
Midlands
| Professional | $4,073.80 | $4,365.16 | $4,570.88 | |
Sanford Health Plan
| Professional | $2,137.96 | $3,019.95 | $3,630.78 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |