| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $1,737.80 | $4,365.16 | |
Medica
| Facility | $1,548.82 | $2,344.23 | $5,128.61 | |
Midlands
| Professional | $4,265.80 | $4,365.16 | $4,677.35 | |
Sanford Health Plan
| Professional | $2,137.96 | $3,090.30 | $3,715.35 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |