| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $2,754.23 | $4,365.16 | |
Medica
| Facility | $2,454.71 | $3,890.45 | $7,943.28 | |
Midlands
| Professional | $6,760.83 | $6,918.31 | $7,413.10 | |
Sanford Health Plan
| Professional | $3,467.37 | $5,011.87 | $6,025.60 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |