| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $2,238.72 | $4,365.16 | |
Medica
| Facility | $2,754.23 | $3,019.95 | $6,165.95 | |
Midlands
| Professional | $5,011.87 | $5,248.07 | $5,370.32 | |
Sanford Health Plan
| Professional | $2,754.23 | $4,168.69 | $4,786.30 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |