| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $3,548.13 | $4,365.16 | |
Medica
| Facility | $1,258.93 | $2,041.74 | $4,073.80 | |
Midlands
| Professional | $3,311.31 | $3,467.37 | $3,630.78 | |
Sanford Health Plan
| Professional | $1,737.80 | $2,511.89 | $2,951.21 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |