| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.73 | $336.73 | $3,073.00 | |
Aetna
| Professional | $320.48 | $336.73 | $336.73 | |
Medica
| Facility | $407.86 | $557.42 | $903.76 | |
Medica
| Professional | $380.16 | $712.38 | $2,571.67 | |
Midlands
| Facility | $396.47 | $3,816.18 | $5,510.32 | |
Midlands
| Professional | $464.91 | $464.91 | $1,748.00 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 | |
United
| Professional | $341.58 | $703.70 | $1,000.05 |