| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $3,090.30 | $4,365.16 | |
Medica
| Facility | $1,737.80 | $2,089.30 | $3,715.35 | |
Midlands
| Professional | $3,019.95 | $3,162.28 | $3,311.31 | |
Sanford Health Plan
| Professional | $1,659.59 | $2,454.71 | $2,818.38 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |