| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.95 | $304.95 | $304.95 | |
Aetna
| Professional | $274.27 | $274.27 | $304.95 | |
Medica
| Facility | $284.72 | $1,446.94 | $1,932.26 | |
Medica
| Professional | $1,045.34 | $1,615.54 | $1,995.67 | |
Midlands
| Facility | $250.68 | $381.41 | $559.19 | |
Midlands
| Professional | $381.41 | $381.41 | $1,122.03 | |
United
| Professional | $1,140.38 | $1,388.21 | $1,995.67 |