| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $2,137.96 | $4,365.16 | |
Medica
| Facility | $2,630.27 | $2,951.21 | $6,165.95 | |
Midlands
| Professional | $5,011.87 | $5,128.61 | $5,248.07 | |
Sanford Health Plan
| Professional | $2,754.23 | $4,073.80 | $4,677.35 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |