| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $1,122.02 | $4,365.16 | |
Medica
| Facility | $1,380.38 | $1,819.70 | $3,090.30 | |
Midlands
| Professional | $2,511.89 | $2,630.27 | $2,691.53 | |
Sanford Health Plan
| Professional | $1,380.38 | $2,089.30 | $2,398.83 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |