| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,047.13 | $4,365.16 | |
Medica
| Facility | $1,380.38 | $1,659.59 | $2,951.21 | |
Midlands
| Professional | $2,344.23 | $2,511.89 | $2,570.40 | |
Sanford Health Plan
| Professional | $1,258.93 | $1,905.46 | $2,238.72 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,162.28 |