| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,412.54 | $4,365.16 | |
Medica
| Facility | $1,258.93 | $2,089.30 | $4,073.80 | |
Midlands
| Professional | $3,388.44 | $3,467.37 | $3,715.35 | |
Sanford Health Plan
| Professional | $1,778.28 | $2,511.89 | $3,019.95 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |