| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $2,137.96 | $4,365.16 | |
Medica
| Facility | $2,570.40 | $2,884.03 | $5,623.41 | |
Midlands
| Professional | $4,466.84 | $4,786.30 | $4,897.79 | |
Sanford Health Plan
| Professional | $2,511.89 | $3,715.35 | $4,265.80 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |