| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,365.16 | $6,918.31 | |
Medica
| Facility | $1,513.56 | $1,949.84 | $3,548.13 | |
Midlands
| Professional | $2,511.89 | $2,818.38 | $2,818.38 | |
Sanford Health Plan
| Professional | $1,412.54 | $2,137.96 | $2,511.89 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |