| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,096.48 | $4,365.16 | |
Medica
| Facility | $1,000.00 | $1,659.59 | $3,311.31 | |
Midlands
| Professional | $2,691.53 | $2,818.38 | $2,951.21 | |
Sanford Health Plan
| Professional | $1,548.82 | $2,041.74 | $2,398.83 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |