| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $1,819.70 | |
Aetna
| Professional | $186.21 | $223.87 | $275.42 | |
Medica
| Facility | $263.03 | $323.59 | $446.68 | |
Medica
| Professional | $181.97 | $275.42 | $457.09 | |
Midlands
| Professional | $229.09 | $229.09 | $229.09 | |
United
| Professional | $190.55 | $275.42 | $389.05 |