| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $1,348.96 | $4,365.16 | |
Medica
| Facility | $1,202.26 | $1,995.26 | $3,890.45 | |
Midlands
| Professional | $3,162.28 | $3,311.31 | $3,548.13 | |
Sanford Health Plan
| Professional | $1,659.59 | $2,344.23 | $2,818.38 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |