| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $1,905.46 | $4,365.16 | |
Medica
| Facility | $2,344.23 | $3,311.31 | $5,370.32 | |
Midlands
| Professional | $4,466.84 | $4,570.88 | $4,677.35 | |
Sanford Health Plan
| Professional | $2,454.71 | $3,548.13 | $4,168.69 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |