| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $4,365.16 | $5,623.41 | |
Medica
| Facility | $1,548.82 | $1,819.70 | $3,388.44 | |
Midlands
| Professional | $2,630.27 | $2,754.23 | $3,019.95 | |
Sanford Health Plan
| Professional | $1,659.59 | $2,137.96 | $2,454.71 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |