| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,073.00 | $3,073.00 | $4,338.00 | |
Medica
| Facility | $5,357.00 | $5,357.00 | $5,357.00 | |
Midlands
| Facility | $9,308.27 | $9,308.27 | $10,859.64 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |