| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $4,365.16 | $6,918.31 | |
Medica
| Facility | $1,737.80 | $1,995.26 | $3,388.44 | |
Midlands
| Professional | $2,454.71 | $2,454.71 | $3,019.95 | |
Sanford Health Plan
| Professional | $1,659.59 | $2,238.72 | $2,754.23 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |