| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $4,365.16 | $9,120.11 | |
Medica
| Facility | $1,479.11 | $2,754.23 | $5,128.61 | |
Midlands
| Professional | $4,073.80 | $4,168.69 | $4,466.84 | |
Sanford Health Plan
| Professional | $2,089.30 | $3,019.95 | $3,630.78 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |