| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $1,659.59 | $4,365.16 | |
Medica
| Facility | $1,479.11 | $2,454.71 | $4,677.35 | |
Midlands
| Professional | $3,981.07 | $4,073.80 | $4,365.16 | |
Sanford Health Plan
| Professional | $2,041.74 | $2,951.21 | $3,548.13 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |