| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $4,365.16 | |
Aetna
| Professional | $776.25 | $891.25 | $6,606.93 | |
Medica
| Facility | $977.24 | $1,513.56 | $10,964.78 | |
Medica
| Professional | $851.14 | $1,412.54 | $6,760.83 | |
Midlands
| Professional | $1,230.27 | $1,230.27 | $1,230.27 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 | |
United
| Professional | $851.14 | $1,412.54 | $2,630.27 |