| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $316.23 | |
Aetna
| Professional | $120.23 | $190.55 | $194.98 | |
Medica
| Facility | $257.04 | $269.15 | $870.96 | |
Medica
| Professional | $181.97 | $263.03 | $426.58 | |
Midlands
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Professional | $186.21 | $263.03 | $426.58 |