| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $1,862.09 | $4,365.16 | |
Medica
| Facility | $2,290.87 | $2,691.53 | $5,248.07 | |
Midlands
| Professional | $4,265.80 | $4,365.16 | $4,570.88 | |
Sanford Health Plan
| Professional | $2,344.23 | $3,548.13 | $4,073.80 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |