| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $87,969.10 | $87,969.10 | $87,969.10 | |
Medica
| Professional | $4,448.80 | $4,448.80 | $4,448.80 | |
Midlands
| Facility | $988.81 | $1,369.11 | $31,638.41 | |
Midlands
| Professional | $988.81 | $1,101.71 | $1,369.11 |