| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $4,365.16 | |
Medica
| Facility | $2,454.71 | $3,890.45 | $6,918.31 | |
Midlands
| Professional | $6,309.57 | $7,244.36 | $7,762.47 | |
Sanford Health Plan
| Professional | $2,951.21 | $4,365.16 | $6,309.57 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |