| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,365.16 | $6,918.31 | |
Medica
| Facility | $1,819.70 | $2,137.96 | $3,467.37 | |
Midlands
| Professional | $2,570.40 | $2,570.40 | $3,090.30 | |
Sanford Health Plan
| Professional | $1,698.24 | $2,290.87 | $2,884.03 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |