| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.95 | $304.95 | $304.95 | |
Aetna
| Professional | $295.70 | $295.70 | $304.95 | |
Medica
| Facility | $284.72 | $467.74 | $591.41 | |
Medica
| Professional | $341.66 | $526.73 | $1,555.83 | |
Midlands
| Facility | $345.88 | $559.19 | $1,199.08 | |
Midlands
| Professional | $381.41 | $381.41 | $1,548.07 | |
United
| Professional | $341.66 | $512.50 | $652.65 |