| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.79 | $382.79 | $382.79 | |
Aetna
| Professional | $371.11 | $371.11 | $382.79 | |
Medica
| Facility | $359.13 | $1,446.94 | $1,932.26 | |
Medica
| Professional | $430.96 | $664.39 | $1,952.60 | |
Midlands
| Facility | $434.10 | $1,229.70 | $1,587.02 | |
Midlands
| Professional | $1,227.08 | $1,587.02 | $1,587.02 | |
United
| Professional | $430.96 | $610.52 | $718.26 |