| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.00 | $2,290.00 | $4,338.00 | |
Medica
| Facility | $3,143.00 | $3,143.00 | $3,143.00 | |
Midlands
| Facility | $3,425.33 | $4,599.72 | $4,717.17 | |
United
| Facility | $3,143.00 | $3,143.00 | $3,143.00 |