| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.34 | $65.34 | $65.34 | |
Aetna
| Professional | $63.63 | $65.34 | $69.97 | |
Medica
| Facility | $75.84 | $107.53 | $146.26 | |
Medica
| Professional | $67.03 | $109.69 | $334.80 | |
Midlands
| Facility | $74.43 | $82.07 | $149.53 | |
Midlands
| Professional | $82.07 | $82.07 | $333.09 | |
United
| Professional | $69.29 | $82.62 | $121.88 |