| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $4,365.16 | |
Medica
| Facility | $3,467.37 | $4,168.69 | $8,128.31 | |
Midlands
| Professional | $6,606.93 | $6,760.83 | $7,079.46 | |
Sanford Health Plan
| Professional | $3,715.35 | $5,495.41 | $6,309.57 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |