| 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 | $288.40 | $371.54 | $467.74 | |
Medica
| Professional | $199.53 | $354.81 | $588.84 | |
Midlands
| Professional | $229.09 | $229.09 | $229.09 | |
United
| Professional | $199.53 | $354.81 | $501.19 |