| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $1,258.93 | $4,365.16 | |
Medica
| Facility | $1,548.82 | $1,995.26 | $3,548.13 | |
Midlands
| Professional | $2,818.38 | $2,951.21 | $3,090.30 | |
Sanford Health Plan
| Professional | $1,659.59 | $2,290.87 | $2,630.27 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |