| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $2,041.74 | $4,365.16 | |
Medica
| Facility | $2,511.89 | $2,951.21 | $5,754.40 | |
Midlands
| Professional | $4,677.35 | $4,897.79 | $5,011.87 | |
Sanford Health Plan
| Professional | $2,630.27 | $3,890.45 | $4,466.84 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |