| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $2,951.21 | $4,365.16 | |
Medica
| Facility | $2,398.83 | $3,981.07 | $7,943.28 | |
Midlands
| Professional | $6,309.57 | $6,606.93 | $6,918.31 | |
Sanford Health Plan
| Professional | $3,548.13 | $5,128.61 | $5,888.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |