| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $2,041.74 | |
Medica
| Facility | $1,995.26 | $2,884.03 | $5,370.32 | |
Midlands
| Professional | $3,388.44 | $3,630.78 | $4,677.35 | |
Sanford Health Plan
| Professional | $2,290.87 | $3,981.07 | $4,677.35 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |